DiPasquale Ashley M, Krauss Emily M, Simpson Andrew, Mckee Daniel E, Lalonde Donald H
Faculty of Medicine, Dalhousie University, Saint John, New Brunswick, Canada.
Division of Plastic Surgery, Halifax Infirmary, QEII Health Sciences Centre, Dalhousie University, Halifax, Nova Scotia, Canada.
Plast Surg (Oakv). 2017 Nov;25(4):272-274. doi: 10.1177/2292550317731765. Epub 2017 Sep 27.
Early infectious flexor tenosynovitis has been treated with urgent surgery by most surgeons since Bunnell wrote the first textbook of hand surgery in 1945. Some surgeons have good experience with non-surgical management of early presenting disease in some cases.
This retrospective chart review included 12 inpatients with early infectious flexor synovitis who received conservative treatment with antibiotics, immobilization, and elevation without surgical drainage.
The mean time to resolution of infective symptoms for the 12 patients was 5 days (range: 2-11 days) for those receiving conservative management. Half of them required hand therapy. Eight of the 12 patients had good documentation of a full return of hand function.
In some patients with early infectious flexor synovitis, urgent surgery may not be required. We present a brief synopsis of 12 such cases.
自1945年邦内尔写出第一本手外科教科书以来，大多数外科医生一直采用紧急手术治疗早期感染性屈指肌腱腱鞘炎。一些外科医生在某些情况下对早期疾病的非手术治疗有丰富经验。
这项回顾性病历审查纳入了12例早期感染性屈指腱鞘炎住院患者，他们接受了抗生素、固定和抬高患肢的保守治疗，未进行手术引流。
接受保守治疗的12例患者感染症状消退的平均时间为5天（范围：2 - 11天）。其中一半患者需要手部治疗。12例患者中有8例有手部功能完全恢复的详细记录。
在一些早期感染性屈指腱鞘炎患者中，可能不需要紧急手术。我们简要概述了12例此类病例。
