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Handchir Mikrochir Plast Chir 2009; 41(5): 256-270
DOI: 10.1055/s-0029-1239520
DOI: 10.1055/s-0029-1239520
Übersichtsarbeit
© Georg Thieme Verlag KG Stuttgart · New York
Die Beugesehnenscheideninfektion: Eine Übersicht
Pyogenic Flexor Tendon Sheath Infection: A Comprehensive ReviewM. F. Langer1Further Information
Publication History
eingereicht: 8.2.2009
akzeptiert: 27.8.2009
Publication Date:
29 September 2009 (online)
Zusammenfassung
Die eitrige Beugesehnenscheideninfektion ist eine akute Infektion in einer Synovia-gefüllten Höhle an der Hand. Bei nicht rechtzeitiger Diagnose und operativer Therapie drohen irreversible Schäden und Funktionsverluste. In dieser umfassenden Übersicht werden die spezielle Anatomie, Pathophysiologie, Diagnostik, Differenzialdiagnostik, Klassifikation, Mikrobiologie, operative Therapie, Komplikationen, Nachbehandlung, Bewertungsschemata und Ergebnisse anhand der Literatur aus 150 Jahren und eigener Erfahrungen dargestellt.
Abstract
Pyogenic or suppurative flexor tenosynovitis is a closed space infection of the hand. If not recognised early and treated appropriately, this infection can result in significant morbidity and loss of function. This comprehensive review contains clinically relevant information on the special anatomy, pathophysiology, diagnosis and differential diagnosis, classification, microbiology, operative therapy, complications, physiotherapy, scores and results based on literature from the last 150 years and our personal experience.
Schlüsselwörter
Beugesehne - Sehnenscheide - Infektion - Klassifikation - Beugesehnenscheidenphlegmone
Key words
flexor tendon - tenden sheath - pyogenic/suppurative infection - classification - tenosynovitis
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Korrespondenzadresse
Priv.-Doz. Dr. med. Martin Franz Langer
Universitätsklinikum Münster Klinik für Unfall-, Hand- und Wiederherstellungschirurgie
Waldeyerstraße 1
48129 Münster
Email: langer.martin@ukmuenster.de