Tuberculous tenosynovitis of the flexor tendons of the wrist: A case report

Paa Kwesi Baidoo, Daniel Baddoo, Agbeko Ocloo, Daniel Agbley, Samuel Lartey, Nyonuku Akosua Baddoo

Research output: Contribution to journalArticlepeer-review

20 Citations (Scopus)

Abstract

Background: Tuberculous tenosynovitis poses a significant public health challenge, especially in developing countries. It usually affects the flexor tendons of the wrist. Case presentation: We present a case of a 65-year-old Ghanaian female. She presented a progressively enlarging mass over the volar aspect of the right wrist and palm. She did not have a previous history of tuberculosis. However, her erythrocyte sedimentation rate was high and Mantoux (purified protein derivative) test was strongly positive (more than 15 mm). Radiograph of ulna, radius, and wrist showed osteopenic changes around the distal radius. Excision biopsy of the mass was done and samples sent for histopathology comment. The findings were an inflamed, thickened synovia with rice bodies: suggestive of tuberculous tenosynovitis. Anti-tuberculous chemotherapy was commenced on the second postoperative day. Conclusion: Tuberculous tenosynovitis of the wrist is uncommon. However, in developing countries like Ghana where tuberculosis is prevalent, it should be part of the differential diagnosis of compound palmar ganglion in order to prevent delayed diagnosis and treatment.

Original languageEnglish
Article number238
JournalBMC Research Notes
Volume11
Issue number1
DOIs
Publication statusPublished - 10 Apr 2018
Externally publishedYes

Keywords

  • And flexor tendon sheath
  • Compound palmar ganglion
  • Melon bodies
  • Rice bodies

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