Die Beugesehnenscheideninfektion: Eine Übersicht

M. F. Langer

doi:10.1055/s-0029-1239520

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Handchir Mikrochir Plast Chir 2009; 41(5): 256-270
DOI: 10.1055/s-0029-1239520

Übersichtsarbeit

Die Beugesehnenscheideninfektion: Eine Übersicht

Pyogenic Flexor Tendon Sheath Infection: A Comprehensive ReviewM. F. Langer¹

¹Universitätsklinikum Münster, Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Münster

Further Information

Publication History

eingereicht: 8.2.2009

akzeptiert: 27.8.2009

Publication Date:
29 September 2009 (online)

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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