TY - JOUR
T1 - Tuberculous tenosynovitis presenting as finger drop
T2 - A case report and a systematic review of the literature
AU - Chandrasekharan, Jayadev
AU - Sambandam, Senthil Nathan
AU - Cheriyakara, Sreehari
AU - Mounasamy, Varatharaj
N1 - Publisher Copyright:
© 2016 CIC Edizioni Internazionali Unauthorized reproduction of this article is prohibited.
PY - 2016/4/1
Y1 - 2016/4/1
N2 - Background: Isolated tuberculous tenosynovitis and bursitis are rare among musculo-skeletal tuberculosis, but it is one of the major causes for chronic tendon sheath infection in developing countries. In hand, it is usually presented as a compound palmer ganglion (radio ulnar bursa), tenosynovitis of the flexer tendon sheaths and very few cases of tubercular tenosynovitis affecting the extensor tendons also are reported. Case presentation: We are reporting a rare case of tuberculous extensor tenosynovitis with rupture of the extensor digitorum tendon in an elderly Indian man. This case report and review meets the ethical standard of the journal. Conclusion: Delayed diagnosis of tuberculous tenosynovitis is due to numerous differential diagnoses and slow progression. For all chronic synovitis around the wrist, consider Mycobacterial infection as an important differential diagnosis. Early diagnosis, radical excision combined with multidrug antituberculous therapy gives good functional results.
AB - Background: Isolated tuberculous tenosynovitis and bursitis are rare among musculo-skeletal tuberculosis, but it is one of the major causes for chronic tendon sheath infection in developing countries. In hand, it is usually presented as a compound palmer ganglion (radio ulnar bursa), tenosynovitis of the flexer tendon sheaths and very few cases of tubercular tenosynovitis affecting the extensor tendons also are reported. Case presentation: We are reporting a rare case of tuberculous extensor tenosynovitis with rupture of the extensor digitorum tendon in an elderly Indian man. This case report and review meets the ethical standard of the journal. Conclusion: Delayed diagnosis of tuberculous tenosynovitis is due to numerous differential diagnoses and slow progression. For all chronic synovitis around the wrist, consider Mycobacterial infection as an important differential diagnosis. Early diagnosis, radical excision combined with multidrug antituberculous therapy gives good functional results.
KW - Antituberculous treatment
KW - Caseous necrosis
KW - Extensor digitorun tendon
KW - Melon-seed bodies
KW - Tuberculous tenosynovitis
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U2 - 10.11138/mltj/2016.6.2.258
DO - 10.11138/mltj/2016.6.2.258
M3 - Article
C2 - 27900302
AN - SCOPUS:84988490260
SN - 2240-4554
VL - 6
SP - 258
EP - 263
JO - Muscles, Ligaments and Tendons Journal
JF - Muscles, Ligaments and Tendons Journal
IS - 2
ER -