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Infectious Tenosynovitis
Lauren M. Ladd, MD; B. J. Manaster, MD, PhD, FACR
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Pathology

        TERMINOLOGY

        • Abbreviations

          • Tenosynovitis (TS)
        • Definitions

          • Closed space infection within tendon sheaths
          • Infectious paratenonitis: infection surrounding tendon with paratenon and not true tendon sheath (such as Achilles)

        IMAGING

        • Radiographic Findings

          • MR Findings

            • Ultrasonographic Findings

              DIFFERENTIAL DIAGNOSIS

                PATHOLOGY

                • General Features

                  CLINICAL ISSUES

                  • Treatment

                    Selected References

                    1. Altmayer S et al: Imaging musculoskeletal soft tissue infections. Semin Ultrasound CT MR. 41(1):85-98, 2020
                    2. Chin TY et al: Imaging update on musculoskeletal infections. J Clin Orthop Trauma. 22:101600, 2021
                    3. Giladi AM et al: A systematic review of the management of acute pyogenic flexor tenosynovitis. J Hand Surg Eur Vol. 40(7):720-8, 2015
                    4. Weber E et al: Tenosynovitis: a rare presentation of tuberculosis better known by hand surgeons than infectious diseases specialists. Infection. 43(3):261-6, 2015
                    5. Turecki MB et al: Imaging of musculoskeletal soft tissue infections. Skeletal Radiol. 39(10):957-71, 2010
                    6. Rivoisy C et al: Tenosynovitis as a possible feature of immune reconstitution syndrome during highly active antiretroviral treatment (HAART). Joint Bone Spine. 76(5):550-2, 2009
                    7. Torralba KD et al: Soft tissue infections. Rheum Dis Clin North Am. 35(1):45-62, 2009
                    8. Wilson PC et al: The incidence of methicillin-resistant staphylococcus aureus in community-acquired hand infections. Ann Plast Surg. 62(5):513-6, 2009
                    9. Ergun T et al: Multiple rice body formation accompanying the chronic nonspecific tenosynovitis of flexor tendons of the wrist. Radiat Med. 26(9):545-8, 2008
                    10. Theodorou SJ et al: Imaging findings of complications affecting the upper extremity in intravenous drug users: featured cases. Emerg Radiol. 15(4):227-39, 2008
                    11. Carlson JA et al: Sarcoidal granulomatous tenosynovitis of the hands occurring in an organ transplant patient. J Cutan Pathol. 34(8):658-64, 2007
                    12. Gaar E: Occupational hand infections. Clin Occup Environ Med. 5(2):369-80, viii, 2006
                    13. Jbara M et al: MR imaging: arthropathies and infectious conditions of the elbow, wrist, and hand. Radiol Clin North Am. 44(4):625-42, ix, 2006
                    14. Chau CL et al: Musculoskeletal infections: ultrasound appearances. Clin Radiol. 60(2):149-59, 2005
                    15. Small LN et al: Suppurative tenosynovitis and septic bursitis. Infect Dis Clin North Am. 19(4):991-1005, xi, 2005
                    16. Jbara M et al: MR imaging: arthropathies and infectious conditions of the elbow, wrist, and hand. Magn Reson Imaging Clin N Am. 12(2):361-79, vii, 2004
                    17. Tehranzadeh J et al: Musculoskeletal disorders associated with HIV infection and AIDS. Part I: infectious musculoskeletal conditions. Skeletal Radiol. 33(5):249-59, 2004
                    Related Anatomy
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                    Related Differential Diagnoses
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                    References
                    Tables

                    Tables

                    KEY FACTS

                    • Imaging

                      • Top Differential Diagnoses

                        • Pathology

                          TERMINOLOGY

                          • Abbreviations

                            • Tenosynovitis (TS)
                          • Definitions

                            • Closed space infection within tendon sheaths
                            • Infectious paratenonitis: infection surrounding tendon with paratenon and not true tendon sheath (such as Achilles)

                          IMAGING

                          • Radiographic Findings

                            • MR Findings

                              • Ultrasonographic Findings

                                DIFFERENTIAL DIAGNOSIS

                                  PATHOLOGY

                                  • General Features

                                    CLINICAL ISSUES

                                    • Treatment

                                      Selected References

                                      1. Altmayer S et al: Imaging musculoskeletal soft tissue infections. Semin Ultrasound CT MR. 41(1):85-98, 2020
                                      2. Chin TY et al: Imaging update on musculoskeletal infections. J Clin Orthop Trauma. 22:101600, 2021
                                      3. Giladi AM et al: A systematic review of the management of acute pyogenic flexor tenosynovitis. J Hand Surg Eur Vol. 40(7):720-8, 2015
                                      4. Weber E et al: Tenosynovitis: a rare presentation of tuberculosis better known by hand surgeons than infectious diseases specialists. Infection. 43(3):261-6, 2015
                                      5. Turecki MB et al: Imaging of musculoskeletal soft tissue infections. Skeletal Radiol. 39(10):957-71, 2010
                                      6. Rivoisy C et al: Tenosynovitis as a possible feature of immune reconstitution syndrome during highly active antiretroviral treatment (HAART). Joint Bone Spine. 76(5):550-2, 2009
                                      7. Torralba KD et al: Soft tissue infections. Rheum Dis Clin North Am. 35(1):45-62, 2009
                                      8. Wilson PC et al: The incidence of methicillin-resistant staphylococcus aureus in community-acquired hand infections. Ann Plast Surg. 62(5):513-6, 2009
                                      9. Ergun T et al: Multiple rice body formation accompanying the chronic nonspecific tenosynovitis of flexor tendons of the wrist. Radiat Med. 26(9):545-8, 2008
                                      10. Theodorou SJ et al: Imaging findings of complications affecting the upper extremity in intravenous drug users: featured cases. Emerg Radiol. 15(4):227-39, 2008
                                      11. Carlson JA et al: Sarcoidal granulomatous tenosynovitis of the hands occurring in an organ transplant patient. J Cutan Pathol. 34(8):658-64, 2007
                                      12. Gaar E: Occupational hand infections. Clin Occup Environ Med. 5(2):369-80, viii, 2006
                                      13. Jbara M et al: MR imaging: arthropathies and infectious conditions of the elbow, wrist, and hand. Radiol Clin North Am. 44(4):625-42, ix, 2006
                                      14. Chau CL et al: Musculoskeletal infections: ultrasound appearances. Clin Radiol. 60(2):149-59, 2005
                                      15. Small LN et al: Suppurative tenosynovitis and septic bursitis. Infect Dis Clin North Am. 19(4):991-1005, xi, 2005
                                      16. Jbara M et al: MR imaging: arthropathies and infectious conditions of the elbow, wrist, and hand. Magn Reson Imaging Clin N Am. 12(2):361-79, vii, 2004
                                      17. Tehranzadeh J et al: Musculoskeletal disorders associated with HIV infection and AIDS. Part I: infectious musculoskeletal conditions. Skeletal Radiol. 33(5):249-59, 2004