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Flexor Tenosynovitis in the Hand

An unusual aetiology

From the Departments of Plastic Surgery and Clinical Microbiology, Hôpital de la Conception, Marseille, France

Correspondence: J. P. Aubert, MD, Department of Plastic Surgery, Hôpital de la Conception, 147 Bd Baille—13005 Marseille, France.

We report an unusual case of tenosynovitis in the hand. A female farm worker aged 66 developed swelling of the middle and little fingers. Extensive synovectomy of the flexor tendon sheaths was performed, and the synovitis was found to be due to Listeria monocytogenes, which is unusual in this area. Treatment with amoxycillin and gentamicin for 10 days was replaced by trimethoprimsulfamethoxazole for 3 weeks. There was no recurrence of infection 3 months after surgery, and flexion and extension were complete at that time.

Journal of Hand Surgery (British and European Volume), Vol. 20, No. 4, 509-510 (1995)
DOI: 10.1016/S0266-7681(05)80165-2


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