Question
A 35-year-old male comes in with a swollen finger. Several days ago he sustained a minor cut to the volar surface of his 2nd digit. He noticed over the next few days increased swelling and redness. He has a fever on examination, also there is tenderness to palpation over the flexor tendon and pain on passive extension of the finger
Identify this Sign.
| A. |
Comolli’s sign
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| B. |
Kanavel’s Sign
|
| C. |
McMurray’s Sign
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| D. |
Simmond’s Sign
|
Show Answer
|
Correct Answer � B
Explanation
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|
Ans.B. Kanavel’s sign
The patient in question is suffering from Pyogenic Flexor Tenosynovitis.
– Kanavel’s sign that help diagnose the condition:
– It is an infection of the flexor tendon sheath of the finger.
– Understanding the common presentations of pyogenic flexor tenosynovitis allows for timely diagnosis of the condition to allow prompt treatment to take place.
– the classic description of exquisite tenderness along the flexor tendon sheath
– The digit held in slight flexion at rest.
– Fusiform swelling of the digit (often described as a “sausage digit”).
– And pain with passive extension of the digit should raise concern for the presence of pyogenic flexor tenosynovitis.
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