A 30-year-old man arrives as ESI 2 with severe pain in the left index finger after a puncture wound. The finger is held flexed; there is fusiform

Question

A 30-year-old man arrives as ESI 2 with severe pain in the left index finger after a puncture wound. The finger is held flexed; there is fusiform swelling, tenderness along the flexor sheath, and pain with passive extension. Which of the following is the most appropriate next step in management?

Accepted Answer

Give IV antibiotics and obtain urgent hand surgery consultation

Answer

Discharge on NSAIDs

Answer

Order outpatient physical therapy

Answer

Perform bedside steroid injection

Answer

Apply buddy taping

Pyogenic flexor tenosynovitis — ABEM Board MCQ

A 30-year-old man arrives as ESI 2 with severe pain in the left index finger after a puncture wound. The finger is held flexed; there is fusiform swelling, tenderness along the flexor sheath, and pain with passive extension. Which of the following is the most appropriate next step in management?