Parano infection or Acute suppurative Tenosynovitis by Dr.K.AmrithaAnilkumar
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Parano infection or Acute Suppurative Tenosynovitis , is defined as the bacterial infection of flexor tendon sheaths , mainly caused by organisms like Staphylococcus aureus, Streptococcus pyogens .
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Parano infection or Acute suppurative Tenosynovitis by Dr.K.AmrithaAnilkumar
- 1. en love da Homoeopathy PARANO INFECTION/ ACUTE SUPPURATIVE TENOSYNOVITIS
- 3. PARANOINFECTION/ ACUTESUPPURATIVE TENOSYNOVITIS DEFINITION • It is the bacterial infectionof flexor tendon sheaths ORGANISM • Staphylococcus aureus, • Streptococcus pyogenes.
- 4. CLINICALFEATURES • Symmetrical swelling of entire finger. • Flexionof finger—Hook sign. • Severe pain on extension. • Tendernessover the sheath. • Oedema of whole hand, bothpalm and dorsum (due to lymphaticspread). • As ulnarbursa extends into the little finger , • its infectionresults in pain and tenderness extending up to little finger but not much to other fingers
- 5. • Kanavel signs • Swollenfinger held in flexion • Exquisite pain on passive extension • Tenderness precisely over the tendonsheath • Area of greatest tendernessoverthe part of ulnar bursa lying between transversepalmar creases.
- 6. Exquisite pain on passive extension & Swollen finger held in flexion
- 7. • In infection of radial bursa • thumb is swollenwith painand tenderness over the sheathof the flexor pollicis longus • &there is inextensibilityof interphalangeal joint. • Swelling just above the flexor retinaculum is common.
- 8. TREATMENT • Elevationof the affected limb. • Antibiotics and analgesics. • Positionof rest. • Drainageunder general anaesthesia. • Incisions are placed over the site of maximumtenderness and flexor sheathshouldbe openedup. • Many a times multiple incisions are required.
- 9. COMPLICATION • Spreadof infection proximallyinto forearm- to space of Parona • Stiffnessof fingers and hand • Suppurative arthritis • Osteomyelitis • Mediannerve palsy • Bacteraemia • septicaemia Suppurative arthritis Median nerve palsy
- 10. REFERENCE 1. SRB's Manual of Surgery by SriramBhat M 2. A Manual on Clinical Surgery by Das 3. A Concise textbookof Surgery by Das
- 11. A Special Thanks To A Very Special Doctor