Tendovaginitis

Purulent inflammation of the tendon sheaths develops as a result of direct entry into them of microorganisms or as a result of the transition of the inflammatory process with purulent panaritium. Tendovaginitis is the most severe type of panaritium, which, as a rule, causes changes in the general condition of the patient and leads to a prolonged impairment of the function of the hand.
Vaginal tendons of II, III, IV fingers begin from the base of the nail phalanx and end in blind sacs. The tendon sheaths 1 and V of the fingers also begin from the base of the nail phalanges, but their ends are not blinded blindly, but communicate with the synovial bags of the palm - radial and ulnar. For purulent tendovaginitis II, III and IV fingers are characterized by swelling of the finger, bent its position, restriction of active movements, especially severe pain during movement, when trying to unbend and under pressure by a buttoned probe along the tendon. Patients complain of malaise, headache, fever.
In the first hours of the disease, a puncture of the tendon sheath with the evacuation of exudate and the subsequent administration of antibiotics is recommended. The puncture is done on the main phalanx of the finger. The tendinous vagina contains no more than 1.5-2 ml of liquid, therefore antibiotics are taken in high concentration. To eliminate pain, the introduction is best done under anesthesia.
In the absence of success of conservative treatment, surgery is shown that is performed in a hospital.
Wounds are drained by rubber graduates, passing them over the tendon, so as not to damage the mesenteric glands, which can cause tendon necrosis. The brush and finger are fixed with a plaster graft. After 2 days, graduates are removed and treated with physiotherapy and gymnastics.