ePlasty: Vol. 17
Suppurative Flexor Tenosynovitis Secondary to Hematogenous Seeding
Olivia Means, BSa, Mark Prevost, II, MDb, Rachel Seay, MDc, and Ron Brooks, MDc

aUniversity of South Alabama College of Medicine, Mobile bUniversity of South Alabama Medical Center Orthopeadic Residency Program, Mobile cPlastic and Reconstructive Surgery, Department of Surgery, University of South Alabama Medical Center, Mobile

Correspondence: brooksy1278@gmail.com
Keywords: flexor tenosynovitis, hematogenous seeding, Kanavel, flexor sheath, hand infection
Figure 1. (a, b) The patient presented with localized pain to her left hand. The left hand was erythematous, taut, and tender to palpation. Specifically, her hand and fingers were held in a flexed position. She had pain on passive extension, fusiform swelling, and tenderness over the flexor tendon sheath of the middle/index/ring fingers. (c) Incision and drainage of the flexor tendon sheaths.


A 22-year-old woman was admitted for fever, intravenous drug use (IVDU), and bacteremia. After admission, she complained of knee and hand pain. Knee aspiration was sterile. She denied any injection into her left hand, and she had no puncture sites on examination. Kanavel's signs were present on examination, and she was taken urgen .......