Belgian Journal of Paediatrics
Flexor tenosynovitis in a 6-month-old infant after penetrating trauma: case report
Vol. 23 No. 4 (2021), Case reports
Vol. 23 No. 4 (2021)

Flexor tenosynovitis in a 6-month-old infant after penetrating trauma: case report

Case reports
Published 2022-01-09 — Updated on 2023-01-18
Pieter Reyniers
Department of orthopedic surgery, AZ Herentals, Herentals, Belgium
Sofie Goeminne
Department of orthopedic surgery, hand and elbow unit, AZ Herentals, Herentals, Belgium
Nathalie van Beek
Orthopedic research center, AZ Herentals, Herentals, Belgium
Frédéric De Schrijver
Department of orthopedic surgery, hand and elbow unit, AZ Herentals, Herentals, Belgium

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Keywords

septic flexor tenosynovitis
pediatric
infection

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How to Cite

Reyniers, P., Goeminne, S., van Beek, N., & De Schrijver, F. (2023). Flexor tenosynovitis in a 6-month-old infant after penetrating trauma: case report. Belgian Journal of Paediatrics, 23(4), 326–328. Retrieved from http://belgjpaediatrics.com/index.php/bjp/article/view/112 (Original work published January 9, 2022)
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Abstract

We present the case of a 6-month-old infant with flexor tenosynovitis of the ring finger after penetration of a splinter in the distal interphalangeal fold. Thorough irrigation and debridement were necessary after ineffective conservative antibiotic treatment of 48 hours. This is the youngest case ever described in literature. Children present differently from adults in terms of route of inoculation and causative pathogens. The Kanavel signs and inflammatory blood markers have a lower sensitivity than in adults. A high index of suspicion is needed because of the poor clinical and biochemical reliability in infants.

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