tenosynovitis

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Inflammation of a tendon sheath.

Inflammation of a tendon sheath caused by strain, calcium deposits, hypercholesterolaemia, gout, rheumatoid arthritis, etc. Claimed to be relieved by high intakes of vitamin B₆, some 50 times the reference intake, but there is little evidence. See also carpal tunnel syndrome.

The inflammation of a tendon sheath caused by calcium deposits, repeated strain or trauma, high levels of blood cholesterol, rheumatoid arthritis, gout, or gonorrhea. Occasionally movement yields a crackling noise over the tendon.

Inflammation of the soft membrane surrounding a tendon (paratenon). Tenosynovitis causes pain and swelling. It can be a very disabling condition, commonly due to overuse. Primary treatment consists of rest, ice, compression, elevation (see RICE), and anti-inflammatories. It is important for the injury to heal completely before training is resumed, otherwise an easily resolved acute condition can develop into a recalcitrant, chronic condition. Chronic tenosynovitis may result in scarring which increases the thickness of the paratenon, reduces mobility, and may require surgery to correct.

Inflammation of a tendon and its sheath, the lubricated layer of tissue in which the tendon is housed and through which it moves. It is painful, and may temporarily disable the affected part.
Arthritis frequently involves tendon sheaths. A less common cause of tenosynovitis is injury to the tendon sheath and subsequent infection.

• villonodular t. — a condition marked by exaggerated proliferation of synovial membrane cells, producing a solid tumor-like mass, may occur in periarticular soft tissues and less frequently in joints.

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Tenosynovitis
Classification and external resources
ICD-10	M65.
ICD-9	727.0
DiseasesDB	31136
MedlinePlus	001242
eMedicine	emerg/571
MeSH	D013717

Tenosynovitis is the inflammation of the fluid-filled sheath (called the synovium) that surrounds a tendon. Symptoms of tenosynovitis include pain, swelling, and difficulty moving the particular joint where the inflammation occurs. When the condition causes the finger to "stick" in a flexed position, this is called "stenosing" tenosynovitis, which is commonly called "Trigger Finger."

It usually occurs with tendinitis and it is related to stenosing tenosynovitis.

Contents 1 Treatment 2 Causes 3 Exams and tests 4 See also 5 References 6 External links

Treatment

Possible treatments for tenosynovitis include cortisone injections (then a course of paracetamol and ibuprofen for pain) and an outpatient surgery to enlarge the synovium. The hand is splinted for a week or so.^{[citation needed]}

Causes

Causes of tenosynovitis are unknown. Repeated use of hand tools can precede the condition, as well as arthritis or injury. Tenosynovitis sometimes runs in families, and is generally seen more often in males than in females. The causes for children are even less known and have a recurrence rate of less than 1-5% after treatment.^{[citation needed]}

Tenosynovitis is also linked to infectious arthritis caused by bacteria such as Neisseria gonorrhoae.

Exams and tests

A physical examination shows swelling over the involved tendon. The health care provider may touch or stretch the tendon or have you move the muscle to which it is attached to see whether you experience pain.^[1]

See also

• Synovitis
• DeQuervain's syndrome
• Remitting seronegative symmetrical synovitis with pitting edema

References

1. ^ MedlinePlus Medical Encyclopedia: Tenosynovitis

External links

• [1]
• RSI - Repetitive Strain Injury and Occupational Overuse Syndrome
• Tenosynovitis - Tendon Sheath Inflammation
• [2] Go to this link to read this article which reports how excessive use of mobile phones - especially due to texting frequently - can cause Tenosynovitis. This research comes directly from the French Health Ministry.

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v • d • e Soft tissue disorders (M65-M79, 725-727) Connective tissue, articular (arthropathy) Tendinopathy Enthesopathy Enthesitis: upper limb (Adhesive capsulitis of shoulder, Rotator cuff tear, Golfer's elbow, Tennis elbow) · lower limb (Iliotibial band syndrome, Patellar tendinitis, Achilles tendinitis, Calcaneal spur, Metatarsalgia) · Bone spur Other/general Tendinitis · Tendinosis Synoviopathy Synovitis/Tenosynovitis (Calcific tendinitis, Stenosing tenosynovitis, Trigger finger, DeQuervain's syndrome) · Transient synovitis · Ganglion cyst osteochondromatosis (Synovial osteochondromatosis) · Plica syndrome villonodular synovitis (Giant cell tumor of the tendon sheath) Bursopathy Bursitis (Olecranon, Prepatellar, Trochanteric, Subacromial) · Baker's cyst Connective tissue, nonarticular Fasciopathy Fasciitis: Plantar · Nodular · Necrotizing · Eosinophilic Fibromatosis/contracture Dupuytren's contracture · Peyronie's disease · Plantar fibromatosis · Aggressive fibromatosis Adiposopathy Panniculitis/Erythema (Erythema induratum, Erythema nodosum) Other Neuropathy Neuralgia/Neuritis Undefined Rheumatism · Fibromyalgia see also neoplasia, systemic connective tissue disorders

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