Tuberculosis tenosynovitis of the wrist: a rare case report

Authors

  • Surya Rao Rao Venkata Mahipathy Department of Plastic and Reconstructive Surgery, Saveetha Medical College & Hospital, Thandalam, Kanchipuram Dist. 602105, Tamil Nadu, India
  • Alagar Raja Durairaj Department of Plastic and Reconstructive Surgery, Saveetha Medical College & Hospital, Thandalam, Kanchipuram Dist. 602105, Tamil Nadu, India
  • Narayanamurthy Sundaramurthy Department of Plastic and Reconstructive Surgery, Saveetha Medical College & Hospital, Thandalam, Kanchipuram Dist. 602105, Tamil Nadu, India
  • Anand Prasath Jayachandiran Department of Plastic and Reconstructive Surgery, Saveetha Medical College & Hospital, Thandalam, Kanchipuram Dist. 602105, Tamil Nadu, India
  • Suresh Rajendran Department of Plastic and Reconstructive Surgery, Saveetha Medical College & Hospital, Thandalam, Kanchipuram Dist. 602105, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20213962

Keywords:

Tuberculosis, Tenosynovitis, Carpal tunnel, Wrist, Surgery

Abstract

Tuberculosis (TB) is a common disease of the Asian continent and has a varied presentation. Involvement of the musculoskeletal system is uncommon and presents in 10% of extrapulmonary tuberculosis. The atypical sites of tuberculous infection are the spine (51%) pelvis (12%), hip and femur (10%), knee and tibia (10%), and ribs (7%), but involvement of the wrist is rare. Tuberculosis tenosynovitis is a rare site of extra-articular TB. Delayed diagnosis and hence treatment is because it mimics many other disease processes and as a result, complications are common. Median nerve compression leading to carpal tunnel syndrome may also occur in these patients. Here, we present a case of tuberculous tenosynovitis involving the wrist flexors and the radial and ulnar bursae treated with surgery.

References

Malaviya AN, Kotwal PP. Arthritis associated with tuberculosis. Best Pract Res Clin Rheumatol. 2003;17:319-43.

Tseng CC. Tuberculosis arthritis: epidemiology, diagnosis, treatment. J Clin Res Foot Ankle. 2014;2

Evanchick CC, Davis DE, Harrington TM. Tuberculosis of peripheral joints: an often missed diagnosis. J Rheumatol. 1986;13:187-9.

Abdulaziz S, Almoallim H, Ibrahim A. Poncet's disease (reactive arthritis associated with tuberculosis): retrospective case series and review of literature. Clin Rheumatol. 2012;31:1521-8.

Furia JP, Box GG, Lintner DM. Tuberculous arthritis of the knee presenting as a meniscal tear. Am J Orthop. 1996;25:138-42.

Higuchi S, Ishihara S, Kobayashi H, Arai T. A mass lesion of the wrist: A rare manifestation of tuberculosis. Intern Med. 2008;47:313-6.

Wu KC, Tang HM, Yeh KT, Ding DC. Extrapulmonary tuberculosis in the wrist presenting as a ganglion cyst-like mass: a case report. Tzu Chi Med J. 2012;24:77-9.

Hassanpour SE, Gousheh J. Mycobacterium tuberculosis-induced carpal tunnel syndrome: Management and follow-up evaluation. J Hand Surg Am. 2006;31:575-9.

Seung OP, Sulaiman W. Osteoarticular tuberculosis mimicking rheumatoid arthritis. Mod Rheumatol. 2012;22:931-3.

Aboudola S, Sienko A, Carey RB, Johnson S. Tuberculous tenosynovitis. Hum Pathol. 2004;35:1044-6.

Pei-Hung S, Cheng-Mien C, Gua-Shu H, Shing-Sheng wu, Chian-Her Lee. Tuberculous tenosynovitis of the flexor tendons of the wrist and hand. J Med Sci. 2002;22:227-30.

Sharma SK, Ryan H, Khaparde S, Sachdeva KS, Singh AD, Mohan A, et al. Index-TB guidelines: Guidelines on extrapulmonary tuberculosis for India. Indian J Med Res. 2017;145:448-63.

Tyllianakis M, Kasimatis G, Athanaselis S, Melachrinou M. Rice-body formation and tenosynovitis of the wrist: A case report. J Orthop Surg. 2006;14:208-11.

Tuli SM. Tuberculosis of the Skeletal System. JP Medical Ltd. 2016.

Lenaerts A, Barry III CE, Dartois V. Heterogeneity in tuberculosis pathology, microenvironments and therapeutic responses. Immunological Reviews. 2015;264(1):288-307.

Glintborg D, Wandall J. A rare cause of osteomyelitis. A case of Mycobacterium bovis in a wrist. Ugeskrift for Laeger. 2000;162(12):1747-8.

Causero A, Screm C, Beltrame A, Mastidoro L. Mycobacterium marinum: a case of skin granuloma complicated by tenosynovitis of the extensors. Chirurgia Degli Organi di Movimento. 2003;88(1):93-7.

Kelly PJ, Karlson AG, Weed LA, Lipscomb PR. Infection of synovial tissues by mycobacteria other than Mycobacterium tuberculosis. The Journal of Bone and Joint Surgery. 1967;49(8):1521-30.

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Published

2021-09-28

How to Cite

Rao Venkata Mahipathy, S. R., Durairaj, A. R., Sundaramurthy, N., Jayachandiran, A. P., & Rajendran, S. (2021). Tuberculosis tenosynovitis of the wrist: a rare case report. International Journal of Research in Medical Sciences, 9(10), 3212–3215. https://doi.org/10.18203/2320-6012.ijrms20213962

Issue

Section

Case Reports