Date of Presentation

5-6-2021 12:00 AM

College

School of Osteopathic Medicine

Poster Abstract

Flexor tenosynovitis is one of the few orthopedic emergencies, often first identified in the emergency department. Pyogenic flexor tenosynovitis is an infection of the flexor tendon sheath of a finger causing local inflammation and tissue destruction. The pathognomonic symptoms of flexor tenosynovitis are known as Kanavel’s signs, a constellation of symptoms that include: pain with passive extension of the finger, tenderness over the flexor tendon sheath, fusiform swelling of the affected finger, and the finger held in passive flexion. The most common cause of flexor tenosynovitis is penetrating trauma into the flexion tendon sheath. Our case involves a 59-year-old male who presented to the emergency department with left second finger pain and swelling after sustaining an bite by a domesticated sugar glider, Petaurus breviceps, a small marsupial that is one of the most commonly traded exotic pets in the United States.

Keywords

tenosynovitis, Petaurus breviceps, sugar glider, animal bite

Disciplines

Infectious Disease | Medicine and Health Sciences | Musculoskeletal Diseases | Orthopedics | Pathological Conditions, Signs and Symptoms

Document Type

Poster

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May 6th, 12:00 AM

Flexor Tenosynovitis After Bite by Sugar Glider

Flexor tenosynovitis is one of the few orthopedic emergencies, often first identified in the emergency department. Pyogenic flexor tenosynovitis is an infection of the flexor tendon sheath of a finger causing local inflammation and tissue destruction. The pathognomonic symptoms of flexor tenosynovitis are known as Kanavel’s signs, a constellation of symptoms that include: pain with passive extension of the finger, tenderness over the flexor tendon sheath, fusiform swelling of the affected finger, and the finger held in passive flexion. The most common cause of flexor tenosynovitis is penetrating trauma into the flexion tendon sheath. Our case involves a 59-year-old male who presented to the emergency department with left second finger pain and swelling after sustaining an bite by a domesticated sugar glider, Petaurus breviceps, a small marsupial that is one of the most commonly traded exotic pets in the United States.

 

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