INTRODUCTION The management of purulent flexor tenosynovitis of the hand consists of surgical debridement followed by antibiotic treatment. Usually, the debridement is carried out by irrigating the tendon sheath in a proximal to distal direction facilitated by two small incisions. It is unclear whether intraoperative irrigation by itself is adequate for healing or if it should be combined with ...

graphic assessment of synovitis and joint vascularity with radiographic evaluation in randomized, placebo-controlled study of infliximab therapy in early rheumatoid arthritis. Arthritis Rheum 2004;50:1107–16. 7. Filippucci E, Farina A, Carotti M, Salaffi F, Grassi W. Grey scale and power Doppler sonographic changes induced by intra-articular steroid injection treatment. Ann Rheum Dis 2004;63:74...

N D c m Q f c HE PATIENT 33-year-old, left-handed woman who is a homeaker reports 2 months of left wrist pain. The pain is orse when lifting her children, opening bottles, or urning doorknobs. She has seen her primary care docor who diagnosed her with “tendonitis” and prescribed er an unscheduled nonsteroidal anti-inflammatory rug (NSAID) and a wrist splint. Physical exam idenifies tenderness a...