Musculoskeletal - Flexortenosynovitis (FTS)
Caption
21 y/o F with 1 day of pointer finger pain. 4/4 Kanavel's signs - pain with passive extension, percussion tenderness, sausage digit, flexion posture of finger. Consultant is "unimpressed" and wants the patient on observation. Waterbath POCUS performed and demonstrates a fluid collection between the tendon and the bone (digit on left). Normal digit is on right. POCUS changed management and the patient went to the OR with confirmed FTS. Matthew Riscinti, MD - Kings County/SUNY Downstate Emergency Medicine