Editorial
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 6, 2024; 12(4): 671-676
Published online Feb 6, 2024. doi: 10.12998/wjcc.v12.i4.671
Tenosynovitis of hand: Causes and complications
Sathish Muthu, Saravanan Annamalai, Velmurugan Kandasamy
Sathish Muthu, Department of Orthopaedics, Government Medical College, Karur 639004, Tamil Nadu, India
Sathish Muthu, Orthopaedic Research Group, Coimbatore 641045, Tamil Nadu, India
Sathish Muthu, Department of Biotechnology, Faculty of Engineering, Karpagam Academy of Higher Education, Coimbatore 641021, Tamil Nadu, India
Saravanan Annamalai, Department of Orthopaedics, Government Thiruvallur Medical College, Thiruvallur 631203, Tamil Nadu, India
Velmurugan Kandasamy, Department of Orthopaedics, Government Kilpauk Medical College, Chennai 600010, Tamil Nadu, India
Author contributions: Muthu S performed the conceptualisation, data curation, data analysis, manuscript writing, and revision of the manuscript; Annamalai S performed the data analysis, manuscript writing, and revision of the manuscript; Kandasamy V performed data analysis, manuscript writing, and revision of the manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Sathish Muthu, DNB, MS, Assistant Professor, Research Associate, Surgeon, Orthopaedic Research Group, Ramanathapuram, Coimbatore 641045, Tamil Nadu, India. drsathishmuthu@gmail.com
Received: November 4, 2023
Peer-review started: November 4, 2023
First decision: December 21, 2023
Revised: December 25, 2023
Accepted: January 12, 2024
Article in press: January 12, 2024
Published online: February 6, 2024
Abstract

Tenosynovitis represents a common clinical condition characterized by inflammation of the synovium that encases the tendon sheath. Although tenosynovities may be noted in any tendon in the body, extremities such as hand, and foot remain the sites of high predilection to acquire this condition. The predominant cause of this predilection rests in the intricate tendon arrangements in these extremities that permit fine motor actions. This editorial explores the common causes and the complications associated with this condition to improve the understanding of the readers of this common condition encountered in our everyday clinical practice.

Keywords: Tenosynovitis, Gout, Hand, Complications, Infection

Core tip: Hand tenosynovitis can be due to either infective or non-infective reasons such as idiopathic, overuse, and autoimmune reasons. Although infective tenosynovitis is usually due to traumatic insults, systemic reasons do exist. Similarly, among the non-infective causes, apart from the autoimmune and overuse causes, idiopathic tenosynovitis also contributes to its etiology. The common complications encountered with this condition depend on the cause, where infective tenosynovitis may result in stiffness, adhesion, deformity, and further spread of infection to deeper structures, and non-infective tenosynovitis results in stenosing tenosynovitis that presents with contractures all of which necessitates surgical management.