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Current Medical Imaging


ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

Case Report

Tuberculous Tenosynovitis of the Wrist: A Report of Two Cases with Special Reference to Magnetic Resonance Findings

Author(s): Melih Bagir and Emrah Sayit*

Volume 15, Issue 5, 2019

Page: [517 - 520] Pages: 4

DOI: 10.2174/1573405614666180919141141

Price: $65


Background: Tuberculous tenosynovitis of the wrist is rare among cases of musculoskeletal tuberculosis. It is a slow, progressive disease with silent symptoms, leading to a late diagnosis. Also, it can be misdiagnosed as inflammatory arthritis, pyogenic infections, and inflammatory tenosynovitis. Thus, patients present with destructive changes of the bone and joint, as well as abscesses, often receive incorrect or unnecessary medical and surgical treatment.

Discussion: Well-documented anamneses along with physical examinations and radiologic imaging methods, such as computed tomography (CT) and magnetic resonance imaging (MRI), can be useful in the diagnosis of tuberculous tenosynovitis. All chronic synovitis of the wrist with longstanding pain should be considered as mycobacterial infection and an important differential diagnosis. Early diagnosis followed by extensive debridement and antituberculous chemotherapy provides good functional results.

Conclusion: This article presents the cases of two patients with wrist tuberculous tenosynovitis and the respective MRI findings. It also includes a literature review.

Keywords: Tuberculosis tenosynovitis, wrist, magnetic resonance imaging, CT, diagnosis, chemotherapy.

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Sawlani V, Chandra T, Mishra RN, Aggarwal A, Jain UK, Gujral RB. MRI features of tuberculosis of peripheral joints. Clin Radiol 2003; 58(10): 755-62.
Gokkus K, Sagtas E, Aydın AT. Tuberculous tenosynovitis of the wrist mimicking a volar wrist ganglion cyst and carpal tunnel syndrome. Turk J Rheumatol 2013; 28(2): 128-31.
Watts HG, Lifeso RM. Tuberculosis of bones and joints. J Bone Joint Surg Am 1996; 78: 288-98.
Chandrasekharan J, Sambandam SN, Cheriyakara S, Mounasamy V. Tuberculous tenosynovitis presenting as finger drop: a case report and a systematic review of the literature. Muscles Ligaments Tendons J 2016; 6(2): 258-63.
Moon MS. Tuberculosis of the spine. Controversies and a new challenge. Spine 1997; 22(15): 1791-7.
Sbai MA, Benzarti S, Bouzaidi K, Sbei F, Maalla R. A rare localization of tuberculosis of the wrist: The scapholunate joint. Int J Mycobacteriol 2015; 4: 161-4.
Hsu CY, Lu HC, Shih TT. Tuberculous infection of the wrist: MRI features. AJR Am J Roentgenol 2004; 183(3): 623-8.
Kotwal PP, Khan SA. Tuberculosis of the hand: Clinical presentation and functional outcome in 32 patients. J Bone Joint Surg Br 2009; 91(8): 1054-7.

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