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Tenosynovitis

MedGen UID:
52670
•Concept ID:
C0039520
•
Disease or Syndrome
Synonym: Tenosynovitides
SNOMED CT: Tenosynovitis (67801009); Tendinous synovitis (67801009); Tendovaginitis (67801009); Tenontolemmitis (67801009); Tenovaginitis (67801009); Inflammation of tendon sheath (67801009)
 
Monarch Initiative: MONDO:0004855

Definition

Inflammation of the synovial lining of a tendon sheath. Causes include trauma, tendon stress, bacterial disease (gonorrhea, tuberculosis), rheumatic disease, and gout. Common sites are the hand, wrist, shoulder capsule, hip capsule, hamstring muscles, and Achilles tendon. The tendon sheaths become inflamed and painful, and accumulate fluid. Joint mobility is usually reduced. [from MONDO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVTenosynovitis

Professional guidelines

PubMed

Management of de Quervain Tenosynovitis: A Systematic Review and Network Meta-Analysis.
Challoumas D, Ramasubbu R, Rooney E, Seymour-Jackson E, Putti A, Millar NL
JAMA Netw Open 2023 Oct 2;6(10):e2337001. doi: 10.1001/jamanetworkopen.2023.37001. PMID: 37889490Free PMC Article
Physical modalities for the conservative treatment of wrist and hand's tenosynovitis: A systematic review.
Ferrara PE, Codazza S, Cerulli S, Maccauro G, Ferriero G, Ronconi G
Semin Arthritis Rheum 2020 Dec;50(6):1280-1290. Epub 2020 Aug 29 doi: 10.1016/j.semarthrit.2020.08.006. PMID: 33065423
Update on the Pathomechanism, Diagnosis, and Treatment Options for Rheumatoid Arthritis.
Lin YJ, Anzaghe M, Schülke S
Cells 2020 Apr 3;9(4) doi: 10.3390/cells9040880. PMID: 32260219Free PMC Article

Recent clinical studies

Etiology

Common Hand Conditions: A Review.
Currie KB, Tadisina KK, Mackinnon SE
JAMA 2022 Jun 28;327(24):2434-2445. doi: 10.1001/jama.2022.8481. PMID: 35762992
Physical modalities for the conservative treatment of wrist and hand's tenosynovitis: A systematic review.
Ferrara PE, Codazza S, Cerulli S, Maccauro G, Ferriero G, Ronconi G
Semin Arthritis Rheum 2020 Dec;50(6):1280-1290. Epub 2020 Aug 29 doi: 10.1016/j.semarthrit.2020.08.006. PMID: 33065423
Trigger Finger? Just Shoot!
Merry SP, O'Grady JS, Boswell CL
J Prim Care Community Health 2020 Jan-Dec;11:2150132720943345. doi: 10.1177/2150132720943345. PMID: 32686570Free PMC Article
Flexor Tenosynovitis.
Hyatt BT, Bagg MR
Orthop Clin North Am 2017 Apr;48(2):217-227. doi: 10.1016/j.ocl.2016.12.010. PMID: 28336044
Mycobacterial Musculoskeletal Infections.
Hogan JI, Hurtado RM, Nelson SB
Infect Dis Clin North Am 2017 Jun;31(2):369-382. Epub 2017 Mar 11 doi: 10.1016/j.idc.2017.01.007. PMID: 28292541

Diagnosis

Imaging of Soft Tissue Infections.
Salastekar N, Su A, Rowe JS, Somasundaram A, Wong PK, Hanna TN
Radiol Clin North Am 2023 Jan;61(1):151-166. Epub 2022 Oct 7 doi: 10.1016/j.rcl.2022.08.003. PMID: 36336388
Flexor Tenosynovitis.
Hyatt BT, Bagg MR
Orthop Clin North Am 2017 Apr;48(2):217-227. doi: 10.1016/j.ocl.2016.12.010. PMID: 28336044
Trigger Wrist.
Park IJ, Lee YM, Rhee SK, Song SW, Kim HM, Choi KB
Clin Orthop Surg 2015 Dec;7(4):523-6. Epub 2015 Nov 13 doi: 10.4055/cios.2015.7.4.523. PMID: 26640639Free PMC Article
Tendinopathies of the Hand and Wrist.
Adams JE, Habbu R
J Am Acad Orthop Surg 2015 Dec;23(12):741-50. Epub 2015 Oct 28 doi: 10.5435/JAAOS-D-14-00216. PMID: 26510626
Hand infections.
Franko OI, Abrams RA
Orthop Clin North Am 2013 Oct;44(4):625-34. doi: 10.1016/j.ocl.2013.06.014. PMID: 24095077

Therapy

Common Hand Conditions: A Review.
Currie KB, Tadisina KK, Mackinnon SE
JAMA 2022 Jun 28;327(24):2434-2445. doi: 10.1001/jama.2022.8481. PMID: 35762992
Paraffin bath therapy in De Quervain's tenosynovitis: a single-blind randomized controlled trial.
Karlıbel İA, Aksoy MK, Alkan A
Int J Biometeorol 2021 Aug;65(8):1391-1398. Epub 2021 Mar 6 doi: 10.1007/s00484-021-02111-2. PMID: 33675398
Nonsurgical Treatment of De Quervain Tenosynovitis: A Prospective Randomized Trial.
Ippolito JA, Hauser S, Patel J, Vosbikian M, Ahmed I
Hand (N Y) 2020 Mar;15(2):215-219. Epub 2018 Jul 30 doi: 10.1177/1558944718791187. PMID: 30060681Free PMC Article
'The side of my wrist hurts': De Quervain's tenosynovitis.
Allbrook V
Aust J Gen Pract 2019 Nov;48(11):753-756. doi: 10.31128/AJGP-07-19-5018. PMID: 31722458
Hand Infections.
Koshy JC, Bell B
J Hand Surg Am 2019 Jan;44(1):46-54. Epub 2018 Jul 14 doi: 10.1016/j.jhsa.2018.05.027. PMID: 30017648

Prognosis

Imaging of Soft Tissue Infections.
Salastekar N, Su A, Rowe JS, Somasundaram A, Wong PK, Hanna TN
Radiol Clin North Am 2023 Jan;61(1):151-166. Epub 2022 Oct 7 doi: 10.1016/j.rcl.2022.08.003. PMID: 36336388
Musculoskeletal brucellosis.
Arkun R, Mete BD
Semin Musculoskelet Radiol 2011 Nov;15(5):470-9. Epub 2011 Nov 11 doi: 10.1055/s-0031-1293493. PMID: 22081282
Soft tissue infections.
Torralba KD, Quismorio FP Jr
Rheum Dis Clin North Am 2009 Feb;35(1):45-62. doi: 10.1016/j.rdc.2009.03.002. PMID: 19480996
Types and epidemiology of tendinopathy.
Maffulli N, Wong J, Almekinders LC
Clin Sports Med 2003 Oct;22(4):675-92. doi: 10.1016/s0278-5919(03)00004-8. PMID: 14560540
The clinical features of rheumatoid arthritis.
Grassi W, De Angelis R, Lamanna G, Cervini C
Eur J Radiol 1998 May;27 Suppl 1:S18-24. doi: 10.1016/s0720-048x(98)00038-2. PMID: 9652497

Clinical prediction guides

Traditional Physiotherapy vs. Fascial Manipulation for the Treatment of Trigger Finger: A Randomized Pilot Study.
Iordache SD, Frenkel Rutenberg T, Pizem Y, Ravid A, Firsteter O
Isr Med Assoc J 2023 Apr;25(4):286-291. PMID: 37129129
Common Hand Conditions: A Review.
Currie KB, Tadisina KK, Mackinnon SE
JAMA 2022 Jun 28;327(24):2434-2445. doi: 10.1001/jama.2022.8481. PMID: 35762992
Acupuncture for de Quervain's tenosynovitis: A randomized controlled trial.
Leung K, Ma OC, Qin Z, Ting H, Lau AH, Lun KK, Chan HY, Wen GY, Ng JT, Chow L, Chu CY, Ho TS, Tsang K, Ng BFL, Fok MWM, Fang CXS, Lao L, Chen H
Phytomedicine 2022 Sep;104:154254. Epub 2022 Jun 14 doi: 10.1016/j.phymed.2022.154254. PMID: 35728386
Nonsurgical Treatment of De Quervain Tenosynovitis: A Prospective Randomized Trial.
Ippolito JA, Hauser S, Patel J, Vosbikian M, Ahmed I
Hand (N Y) 2020 Mar;15(2):215-219. Epub 2018 Jul 30 doi: 10.1177/1558944718791187. PMID: 30060681Free PMC Article
Conservative management of trigger finger: A systematic review.
Lunsford D, Valdes K, Hengy S
J Hand Ther 2019 Apr-Jun;32(2):212-221. Epub 2017 Dec 28 doi: 10.1016/j.jht.2017.10.016. PMID: 29290504

Recent systematic reviews

Management of de Quervain Tenosynovitis: A Systematic Review and Network Meta-Analysis.
Challoumas D, Ramasubbu R, Rooney E, Seymour-Jackson E, Putti A, Millar NL
JAMA Netw Open 2023 Oct 2;6(10):e2337001. doi: 10.1001/jamanetworkopen.2023.37001. PMID: 37889490Free PMC Article
Physical modalities for the conservative treatment of wrist and hand's tenosynovitis: A systematic review.
Ferrara PE, Codazza S, Cerulli S, Maccauro G, Ferriero G, Ronconi G
Semin Arthritis Rheum 2020 Dec;50(6):1280-1290. Epub 2020 Aug 29 doi: 10.1016/j.semarthrit.2020.08.006. PMID: 33065423
Conservative management of trigger finger: A systematic review.
Lunsford D, Valdes K, Hengy S
J Hand Ther 2019 Apr-Jun;32(2):212-221. Epub 2017 Dec 28 doi: 10.1016/j.jht.2017.10.016. PMID: 29290504
Effectiveness of Conservative, Surgical, and Postsurgical Interventions for Trigger Finger, Dupuytren Disease, and De Quervain Disease: A Systematic Review.
Huisstede BM, Gladdines S, Randsdorp MS, Koes BW
Arch Phys Med Rehabil 2018 Aug;99(8):1635-1649.e21. Epub 2017 Aug 30 doi: 10.1016/j.apmr.2017.07.014. PMID: 28860097
Tendon Rupture and Tenosynovitis following Internal Fixation of Distal Radius Fractures: A Systematic Review.
Azzi AJ, Aldekhayel S, Boehm KS, Zadeh T
Plast Reconstr Surg 2017 Mar;139(3):717e-724e. doi: 10.1097/PRS.0000000000003076. PMID: 28234845

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