Amini Richard, Camacho Luis, Acuña Josie, Situ-La Casse Elaine H, Adhikari Srikar
Department of Emergency Medicine, The University of Arizona, Tucson, AZ, USA.
College of Medicine, The University of Arizona, Tucson, AZ, USA.
Bull Emerg Trauma. 2020 Jan;8(1):41-46. doi: 10.29252/beat-080107.
Pyogenic tenosynovitis is caused by hematogenous spread of infection or trauma with direct inoculation of a tendon sheath. Symptoms and clinical examination findings associated with pyogenic tenosynovitis may be confused with superficial soft tissue infections, however management plans between pyogenic tenosynovitis and superficial soft tissue infection vary significantly. In patients with pyogenic tenosynovitis, operative intervention and subsequent irrigation and debridement offer a definitive therapy. Bedside ultrasound helps clinicians inspect the involved tendon sheath and may help assisting diagnosis of pyogenic tenosynovitis. In this case report, we described three cases, where point of care ultrasound was used to assist the diagnosis of pyogenic tenosynovitis, to accelerate consultation, and to expedite operative intervention.
化脓性腱鞘炎是由感染的血行播散或肌腱鞘直接接种创伤引起的。与化脓性腱鞘炎相关的症状和临床检查结果可能与浅表软组织感染相混淆，然而化脓性腱鞘炎和浅表软组织感染之间的管理计划有显著差异。对于化脓性腱鞘炎患者，手术干预及随后的冲洗和清创提供了一种确定性治疗方法。床旁超声有助于临床医生检查受累的肌腱鞘，并可能有助于辅助诊断化脓性腱鞘炎。在本病例报告中，我们描述了三例使用床旁超声辅助诊断化脓性腱鞘炎、加速会诊并加快手术干预的病例。
