Tuberculous Extensor Tenosynovitis of the Wrist with Extensor Pollicis Longus Rupture: a Case Report

Overview

Journal J Med Case Rep

Publisher Biomed Central

Specialty General Medicine

Date 2010 Jan 12

PMID 20062777

Citations 13

Authors

Hitesh Lall

Suman Kumar Nag

Vijay Kumar Jain

Rahul Khare

Deepak Mittal

Affiliations

Soon will be listed here.

Abstract

Introduction: The tendon sheaths constitute an uncommon target of extra-articular tuberculosis.

Case Presentation: We present a rare case of tuberculous tenosynovitis of the wrist involving the extensor tendon with rupture of the extensor pollicis longus tendon in a 55-year-old Indian man.

Conclusion: Prompt surgical debridement and tissue diagnosis are essential for the diagnosis and treatment of this type of infection. With an accurate and timely diagnosis, appropriate surgery and antituberculous treatment may eradicate these infections and prevent complications.

Citing Articles

Wrist joint tuberculosis masquerading as traumatic arthritis sequalae.

Li H, Zhang J, Ma L, Jia H, Li J, Li G BMC Musculoskelet Disord. 2025; 26(1):211.

PMID: 40022056 PMC: 11871670. DOI: 10.1186/s12891-025-08400-w.

Weakness of left hand in a diagnosed case of pulmonary tuberculosis: A rare case of disseminated tuberculosis with wrist tenosynovitis.

Kumar K, Verma R, Sharma N, Grewal D, Ghose S, Peter D Med J Armed Forces India. 2024; 80(Suppl 1):S409-S411.

PMID: 39734858 PMC: 11670536. DOI: 10.1016/j.mjafi.2023.08.002.

Tuberculous extensor tenosynovitis of the wrist in a patient with systemic lupus erythematosus mimicking a giant cell tumour: A case report and review of literature.

Gomez D, Marasinghe S, Umapathy K Int J Surg Case Rep. 2024; 116:109371.

PMID: 38340625 PMC: 10943648. DOI: 10.1016/j.ijscr.2024.109371.

infection of the wrist joint: A current concepts review.

Singh M, Jeyaraman M, Jeyaraman N, Jayakumar T, Iyengar K, Jain V J Clin Orthop Trauma. 2023; 44:102257.

PMID: 37841656 PMC: 10568419. DOI: 10.1016/j.jcot.2023.102257.

Tendon Rupture in a Patient with Tuberculosis of the Hand Misdiagnosed as a Recurrent Dorsal Wrist Ganglion.

Al-Qattan M J Hand Microsurg. 2021; 13(3):202-204.

PMID: 34511840 PMC: 8426047. DOI: 10.1055/s-0040-1714928.

References

Amine B, Benbouazza K, Bahiri R, Hajjaj-Hassouni N . Multifocal tuberculous tenosynovitis. Joint Bone Spine. 2006; 73(4):474-5. DOI: 10.1016/j.jbspin.2005.08.002. View

Hodgson A, Smith T, Gabriel Sister . Tuberculosis of the wrist. With a note on chemotherapy. Clin Orthop Relat Res. 1972; 83:73-83. DOI: 10.1097/00003086-197203000-00013. View

Hsu C, Lu H, Shih T . Tuberculous infection of the wrist: MRI features. AJR Am J Roentgenol. 2004; 183(3):623-8. DOI: 10.2214/ajr.183.3.1830623. View

Jackson R, King J . Tenosynovitis of the hand: a forgotten manifestation of tuberculosis. Rev Infect Dis. 1989; 11(4):616-8. DOI: 10.1093/clinids/11.4.616. View

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]. Chir Main. 2000; 18(4):309-12. View

Jaovisidha S, Chen C, Ryu K, Siriwongpairat P, Pekanan P, Sartoris D . Tuberculous tenosynovitis and bursitis: imaging findings in 21 cases. Radiology. 1996; 201(2):507-13. DOI: 10.1148/radiology.201.2.8888250. View

PIMM L, Waugh W . Tuberculous tenosynovitis. J Bone Joint Surg Br. 1957; 39-B(1):91-101. DOI: 10.1302/0301-620X.39B1.91. View

Skoff H . Postfracture extensor pollicis longus tenosynovitis and tendon rupture: a scientific study and personal series. Am J Orthop (Belle Mead NJ). 2003; 32(5):245-7. View

BICKEL W, KIMBROUGH R, Dahlin D . Tuberculous tenosynovitis. J Am Med Assoc. 1953; 151(1):31-5. View

10.

Burkhardt E . [Chronic diseases of the synovial sheath (from hand surgery consulting hour)]. Beitr Orthop Traumatol. 1972; 19(7):377-91. View

11.

Aboudola S, Sienko A, Carey R, Johnson S . Tuberculous tenosynovitis. Hum Pathol. 2004; 35(8):1044-6. DOI: 10.1016/j.humpath.2004.04.005. View

12.

Hoffman K, Bergman A, Hoffman D, Harris D . Tuberculous tenosynovitis of the flexor tendons of the wrist: MR imaging with pathologic correlation. Skeletal Radiol. 1996; 25(2):186-8. DOI: 10.1007/s002560050060. View

13.

Regnard P, Barry P, Isselin J . Mycobacterial tenosynovitis of the flexor tendons of the hand. A report of five cases. J Hand Surg Br. 1996; 21(3):351-4. DOI: 10.1016/s0266-7681(05)80201-3. View

14.

Albornoz M, Mezgarzedeh M, Neumann C, Myers A . Granulomatous tenosynovitis: a rare musculoskeletal manifestation of tuberculosis. Clin Rheumatol. 1998; 17(2):166-9. DOI: 10.1007/BF01452268. View