Pyogenic Flexor Tenosynovitis of the Finger Following Endoscopic Carpal Tunnel Release: A Case Report

Nathan S. Fredricks; Ian Meshay; John J. Faillace; Robert W. Lindeman

doi:10.2106/JBJS.CC.25.00151

Pyogenic Flexor Tenosynovitis of the Finger Following Endoscopic Carpal Tunnel Release: A Case Report

Nathan S. Fredricks, Ian Meshay, John J. Faillace, Robert W. Lindeman

Orthopaedic Surgery & Rehabilitation

Research output: Contribution to journal › Article › peer-review

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.

Original language	English (US)
Article number	e25
Journal	JBJS case connector
Volume	15
Issue number	2
DOIs	https://doi.org/10.2106/JBJS.CC.25.00151
State	Published - Jun 5 2025

Keywords

carpal tunnel release
endoscopic surgical procedures
flexor tendon
postoperative complications
pyogenic flexor tenosynovitis
tenosynovitis

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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10.2106/JBJS.CC.25.00151

Cite this

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title = "Pyogenic Flexor Tenosynovitis of the Finger Following Endoscopic Carpal Tunnel Release: A Case Report",

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.",

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AU - Lindeman, Robert W.

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Pyogenic Flexor Tenosynovitis of the Finger Following Endoscopic Carpal Tunnel Release: A Case Report

Abstract

Keywords

ASJC Scopus subject areas

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