JBJS Case Connect. 2025 Jun 5;15(2). doi: 10.2106/JBJS.CC.25.00151. eCollection 2025 Apr 1.
ABSTRACT
CASE: A 60-year-old woman presented to the emergency department with hand pain and edema 1 week following endoscopic carpal tunnel release (CTR). She was diagnosed with pyogenic flexor tenosynovitis, which was successfully treated with surgical drainage and intravenous antibiotics, resulting in no long-term side effects.
CONCLUSION: This case highlights the first reported instance of pyogenic flexor tenosynovitis as a complication after endoscopic CTR. Although this relatively safe procedure carries a low infection risk, prophylactic antibiotics should be considered for high-risk patients. In addition, postoperative patients presenting with acute symptoms should be thoroughly evaluated for urgent infectious complications.
PMID:40472148 | DOI:10.2106/JBJS.CC.25.00151