Glossary Investigation
Kanavel signs
Also known as Kanavel's signs Kanavel's cardinal signs
The four cardinal signs of pyogenic flexor tenosynovitis: fusiform swelling of the digit, a semi-flexed resting posture, tenderness along the flexor tendon sheath and pain on passive extension. Individually they are 91–97 per cent sensitive but only 51–69 per cent specific against other finger infections; sheath tenderness, pain on passive extension and symptoms of under five days are the independent predictors of a sheath infection.