Woon Colin Yi-Loong, Phoon Ee-San, Lee Jonathan Yi-Liang, Ng Siew-Weng, Teoh Lam-Chuan
Department of Hand Surgery, Singapore General Hospital, Singapore.
Indian J Plast Surg. 2010 Jan;43(1):97-100. doi: 10.4103/0970-0358.63971.
Local steroid injections are often administered in the office setting for treatment of trigger finger, carpal tunnel syndrome, de Quervain's tenosynovitis, and basal joint arthritis. If attention is paid to sterile technique, infectious complications are rare. We present a case of suppurative extensor tenosynovitis arising after local steroid injection for vague symptoms of dorsal hand and wrist pain. The progression of signs and symptoms following injection suggests a natural history involving bacterial superinfection leading to tendon rupture. We discuss the pitfalls of local steroid injection and the appropriate management of infectious extensor tenosynovitis arising in such situations.
局部类固醇注射通常在门诊进行，用于治疗扳机指、腕管综合征、桡骨茎突狭窄性腱鞘炎和拇指腕掌关节关节炎。如果注意无菌技术，感染性并发症很少见。我们报告一例在局部类固醇注射治疗手背和腕部疼痛症状不明确后发生的化脓性伸肌腱腱鞘炎病例。注射后体征和症状的进展提示一种自然病程，即细菌重叠感染导致肌腱断裂。我们讨论局部类固醇注射的陷阱以及在此类情况下发生的感染性伸肌腱腱鞘炎的适当处理方法。
