Tuberculosis tenosynovitis of the flexor tendons in the wrist: a case report

Extra-pulmonarytuberculosis is a rare form of tuberculosis that can pose diagnostic and therapeutic challenges. We report a case of extra-articular tuberculosis tenosynovitis in a 45-year immunocompetent patient. The symptoms of the patient mimicked De Quervain’s disease and carpal tunnel syndrome. Following pathological confirmation of the diagnosis, the patient recovered following a sixmonth antitubercular chemotherapy.

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1. World Health Organization. Global tuberculosis controlepidemiology, strategy, financing. WHO report 2009 (WHO/HTM/TB/2009(p.411)).

2. Gester. Affections des gaines synoviales. Encycl.Med. Chir.1987 Appareil locomoteur, 15153 A10,9:8.

3. De Vuyst D, Vanhoenacker F, Gielen J, Bernaerts A, De Schepper AM. Imaging features of musculoskeletal tuberculosis. Eur Radiol 2003;13:1809-19.

4. Fnini S, Ouarab M, Rafai M, Cohen D, Largab A, Trafeh M. An uncommon occupational accident: tuberculous tenosynovitis of the extensor tendons of the hand. [Article in French] Chir Main 1999;18:309-12.

5. Dumontier C, Maylin V, Sautet A, Lenoble E, Urban T, Apoil A. Rupture of the flexor tendon of the hand caused by tuberculosis. [Article in French] Rev Chir Orthop Reparatrice Appar Mot 1996;82:668-71.

6. Benchakroun M, El Bardouni A, Zaddoug O, Kharmaz M, El Yaacoubi M, Ouadghiri M, et al. Tuberculosis of the wrist. Symptoms and outcome in eleven cases. [Article in French] Rev Chir Orthop Reparatrice Appar Mot 2004;90:337-45.

7. Lee KE. Tuberculosis presenting as carpal tunnel syndrome. J Hand Surg (Am) 1998;13:574-6.

8. Kang HJ, Park SY, Shin SJ, Kang ES, Hahn SB. Tuberculous tenosynovitis presenting as carpal tunnel syndrome. J Korean Soc Surg Hand 2009;5:137-41.

9. Wallach F, Masmejean E. Carpal tunnel syndrome. When to operate? La revue du praticien-medecine générale 2006;20:716-7.

10. Chen WS, Eng HL. Tuberculous tenosynovitis of the wrist mimicking de Quervain’s disease. J Rheumatol 1994;21:763-5.

11. Kang HJ, Jung SH, Yoon HK, Hahn SB, Kim SJ. Carpal tunnel syndrome caused by space occupying lesions. Yonsei Med J 2009;50:257-61.

12. Latil F, Magalon G, Dreant J, Roffe JL, Decaillet JM, Bureau H. Current aspects of tuberculous tenosynovitis. A report of six cases. [Article in English, French] Ann Chir Main 1982;1:336-41.

13. Kanavel AB. Tuberculosis tenosynovitis of the hand: A report of fourteen cases of tuberculosis tenosynovitis. Surg Gynecol Obstet 1923;37:635-47.

14. Laulan J, Jeannou J, Goupille P. Tendinits of the hand and the wrist. Rev Rheum 2001;68:497-504b

15. Pertuiset E. Tuberculsis of bone and joint members. EMC-Rheumatologie Orthopédie 2004;463-86.
Acta Orthopaedica et Traumatologica Turcica-Cover
  • ISSN: 1017-995X
  • Başlangıç: 2015
  • Yayıncı: Türk Ortopedi ve Travmatoloji Derneği
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