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The Journal of Bone & Joint Surgery British Volume
Vol. 78-B, Issue 5 | Pages 793 - 795
1 Sep 1996
Schnall SB Vu-Rose T Holtom PD Doyle B Stevanovic M

We investigated 14 patients with pyogenic flexor tenosynovitis for increased tissue pressures in involved digits. All showed raised pressures, in eight to 30 mmHg or more. These levels are consistent with a compartment syndrome.

We describe the results of a modified operative technique which includes irrigation of the sheath and the leaving open of a lateral incision. This also allows early active mobilisation of the finger and has given satisfactory early results.