Kanavel Signs (Flexor Tenosynovitis)

Counts Kanavel's four cardinal signs of pyogenic flexor tenosynovitis in an affected finger.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Resting flexed posture of the finger
Yes
Fusiform swelling of the whole finger
Yes
Tenderness along the flexor tendon sheath
Yes
Pain on passive extension
Yes

Result: All 4 Kanavel signs present: the classic picture of pyogenic flexor tenosynovitis.

The tool opens with these values already filled in. Replace them with your own.

What you enter

  • Resting flexed posture of the finger
  • Fusiform swelling of the whole finger
  • Tenderness along the flexor tendon sheath
  • Pain on passive extension
How this is calculated

Citation

Kanavel AB. Infections of the Hand. Philadelphia: Lea & Febiger; 1912. Limits of the signs: Gomes M et al. Cureus. 2025;17:e79785; Rao V et al. Hand (N Y). 2023;18:320. Read the sources: Gomes 2025 ↗, Rao 2023 ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.