Suppurative flexor tenosynovitis has, until recently, been diagnosed mainly by clinical examination. However, this examination is painful and its clinical accuracy tends to be very limited in children. Therefore, we used high resolution ultrasonography (12.5 MHz) to investigate the location and extent of acute suppurative flexor tenosynovitis in three children (2, 8, and 13 years of age) during initial consultation and follow-up. This technique not only provided an accurate, noninvasive, and almost painless diagnosis but also assisted in treatment planning. In addition, this imaging tool can facilitate identification of small foreign bodies and help to rule out concomitant hand injuries. Hand ultrasonography using high resolution linear probes seems to represent a rewarding imaging tool for surgeons treating deep tissue hand infections in children.
European Journal of Plastic Surgery – Springer Journals
Published: Jun 8, 2002
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