Matsui T
Matsui Orthopaedic Clinic, 392 Fuseda, Shima-cho, Mie 517-0702, Japan.
J Orthop Sci. 2001;6(3):234-7. doi: 10.1007/s007760100040.
Eight patients, aged 53 to 86 years (average, 63 years), with typical symptoms of acute infectious digital flexor tenosynovitis after excessive use of the hand were treated. No bacterial or crystal association was proven. In the two patients treated earliest, antibiotics were administered because of leucocytosis and a positive C-reactive protein (CRP) test result, but there was no improvement with this treatment. Surgical treatment relieved the symptoms in both these patients. In the other six patients, hand elevation and rest, as well as treatment with anti-inflammatory agents, resulted in complete resolution of the symptoms. Considering that the structure of the digital flexor tendon and the tendon sheath is similar to that of the synovial joint, the author suggests that the nonspecific tenosynovitis in this series could have been caused by overload on a flexor tendon system that had degenerated with age.
8例年龄在53至86岁（平均63岁）的患者，在手部过度使用后出现急性感染性指屈肌腱腱鞘炎的典型症状，接受了治疗。未证实有细菌或晶体关联。在最早接受治疗的2例患者中，由于白细胞增多和C反应蛋白（CRP）检测结果呈阳性而给予抗生素治疗，但该治疗未见改善。手术治疗使这2例患者的症状得到缓解。在其他6例患者中，手部抬高和休息以及使用抗炎药治疗使症状完全缓解。考虑到指屈肌腱和腱鞘的结构与滑膜关节相似，作者认为本系列中的非特异性腱鞘炎可能是由随着年龄退化的屈肌腱系统过载所致。
