Padrez Kevin, Bress Jennifer, Johnson Brian, Nagdev Arun
University of California, San Francisco, School of Medicine, San Francisco, California.
Tufts University, School of Medicine, Boston, Massachusetts.
West J Emerg Med. 2015 Mar;16(2):260-2. doi: 10.5811/westjem.2015.1.24474. Epub 2015 Mar 6.
Infectious flexor tenosynovitis (FTS) is a serious infection of the hand and wrist that can lead to necrosis and amputation without prompt diagnosis and surgical debridement. Despite the growing use of point-of-care ultrasound (POCUS) by emergency physicians there is only one reported case of the use of POCUS for the diagnosis of infectious FTS in the emergency department setting. We present a case of a 58 year-old man where POCUS identified tissue necrosis and fluid along the flexor tendon sheath of the hand. Subsequent surgical pathology confirmed the diagnosis of infectious FTS.
感染性屈指肌腱腱鞘炎（FTS）是一种手部和腕部的严重感染，若不及时诊断和手术清创，可导致坏死和截肢。尽管急诊医生越来越多地使用床旁超声（POCUS），但在急诊科环境中，仅有一例使用POCUS诊断感染性FTS的报告病例。我们报告一例58岁男性病例，床旁超声检查发现手部屈肌腱鞘处有组织坏死和积液。随后的手术病理证实为感染性FTS。
