Tenosynovitis is inflammation of the lining of the sheath that surrounds a tendon (the cord that joins muscle to bone).
Alternative NamesInflammation of the tendon sheath
Causes, incidence, and risk factorsThe synovium is a lining of the protective sheath that covers tendons. Tenosynovitis is inflammation of this sheath. The cause of the inflammation may be unknown, or it may result from:
The wrists, hands, and feet are commonly affected. However, the condition may occur with any tendon sheath.
Note: An infected cut to the hands or wrists that causes tenosynovitis may be an emergency requiring surgery.
SymptomsFever, swelling, and redness may indicate an infection, especially if a puncture or cut caused these symptoms.
Signs and testsA physical examination shows swelling over the involved tendon. The health care provider may touch or stretch the tendon, or have you move the muscle where it is attached to see whether you experience pain.
TreatmentThe goal of treatment is to relieve pain and reduce inflammation. Rest or keeping the affected tendons still is essential for recovery.
You may want to use a splint or a removable brace to help immobilize the tendons. Applying heat or cold to the affected area should help reduce the pain and inflammation.
Nonsteroidal anti-inflammatory medications (NSAIDs) such as ibuprofen can relieve pain and reduce inflammation. Local injections of corticosteroids may be useful as well. Some patients need surgery to remove the inflammation surrounding the tendon, but this is not common.
For tenosynovitis caused by infection, your health care provider will prescribe antibiotics. In some severe cases, surgery may be needed to release the pus around the tendon.
After recovery, do strengthening exercises using the muscles around the affected tendon to help prevent the injury from coming back.
Expectations (prognosis)Most people fully recover with treatment. However, if the condition is caused by overuse and the activity is not stopped, tenosynovitis is likely to come back. In chronic conditions, the tendon may be damaged and recovery may be slow or incomplete.
ComplicationsIf tenosynovitis is not treated, the tendon may become permanently restricted or it may tear (rupture).
Infection in the tendon may spread to other places in the body, which could be serious.
Calling your health care providerCall for an appointment with your health care provider if you have pain or difficulty straightening a joint or extremity. If you suspect infection, contact your health care provider immediately.
PreventionAvoiding repetitive movements and overuse of tendons may help prevent tenosynovitis.
Tenosynovitis is inflammation of the lining of the sheath that surrounds a tendon (the cord that joins muscle to bone).
Alternative NamesInflammation of the tendon sheath
Causes, incidence, and risk factorsThe synovium is a lining of the protective sheath that covers tendons. Tenosynovitis is inflammation of this sheath. The cause of the inflammation may be unknown, or it may result from:
The wrists, hands, and feet are commonly affected. However, the condition may occur with any tendon sheath.
Note: An infected cut to the hands or wrists that causes tenosynovitis may be an emergency requiring surgery.
SymptomsFever, swelling, and redness may indicate an infection, especially if a puncture or cut caused these symptoms.
Signs and testsA physical examination shows swelling over the involved tendon. The health care provider may touch or stretch the tendon, or have you move the muscle where it is attached to see whether you experience pain.
TreatmentThe goal of treatment is to relieve pain and reduce inflammation. Rest or keeping the affected tendons still is essential for recovery.
You may want to use a splint or a removable brace to help keep the tendons still. Applying heat or cold to the affected area should help reduce the pain and inflammation.
Nonsteroidal anti-inflammatory medications (NSAIDs) such as ibuprofen can relieve pain and reduce inflammation. Local injections of corticosteroids may be useful as well. Some patients need surgery to remove the inflammation surrounding the tendon, but this is not common.
For tenosynovitis caused by infection, your health care provider will prescribe antibiotics. In some severe cases, surgery may be needed to release the pus around the tendon.
If there is no infection, a steroid injection may be used to decrease inflammation along the tendon sheath.
After you have recovered, do strengthening exercises using the muscles around the affected tendon to help prevent the injury from coming back.
Expectations (prognosis)Most people fully recover with treatment. However, if the condition is caused by overuse and the activity is not stopped, tenosynovitis is likely to come back. In chronic conditions, the tendon may be damaged and recovery may be slow or incomplete.
ComplicationsIf tenosynovitis is not treated, the tendon may become permanently restricted or it may tear (rupture). The affected joint can become stiff.
Infection in the tendon may spread to other places in the body, which could be serious and threaten the affected limb.
Calling your health care providerCall for an appointment with your health care provider if you have pain or difficulty straightening a joint or extremity. If you suspect infection, contact your health care provider immediately.
PreventionAvoiding repetitive movements and overuse of tendons may help prevent tenosynovitis.
Use the appropriate wound care techniques to clean cuts to the hand, wrist, and feet.
ReferencesGeiderman JM, Katz D. General principles of orthopedic injuries. In: Marx JA, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier;2009:chap 46.
Schmidt MJ, Adams SL. Tendinopathy and bursitis. In: Marx JA, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier;2009:chap 115.
Reviewed ByReview Date: 07/28/2010
Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; and C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
no
I have tenosynovitis of wrist and anterior tibiial muscles
Yes
Possibly Dequervaines tenosynovitis
its a pain that happens in your joints first hard to move then a pain and next swelling
These organisms can produce such complications as septic arthritis, tenosynovitis, meningitis, and infections of the lymphatic system
fluid distending the long head of the biceps tendon sheath out of proportion to that in the glenohumeral joint.
Most likely no. If it is in pain you might want to see a doctor. If not the swelling is normal in patients with tenosynovitis, I mean that's what the name means for goodness sake!
Ten- means relating to tendons. So tenosynovitis is inflammation of the tendon and its sheath.
The prefixes defining tendons are "teno-" and "tendino-." These prefixes are used to refer to structures related to tendons, such as tenosynovitis (inflammation of the tendon sheath) or tendinopathy (disease of the tendon).
CFIs can, however, have serious consequences, including infection, cellulitis, inflammation of the bone or bone marrow (osteomyelitis ), septic arthritis, and inflammation of the sheaths covering the tendons of the hand (tenosynovitis
25115 (cpt) - radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, tbc, or other granulomas, rheumatoid arthritis); flexors