Flexor tenosynovitis of the wrist with carpal tunnel syndrome

Tubercular tenosynovitis of the wrist with carpal tunnel syndrome (CTS) is a rare occurrence. The authors present a case of tubercular flexor tenosynovitis of the wrist with CTS. A 60-year-old female presented with complaints of swelling in the volar aspect of the right wrist with numbness of the fi...

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Main Authors: Ravi Kumar, Maheshwar Lakkireddy, Deepak Maley, Srikanth Eppakayala, Sreedhar Sathu, Adinarayana Kashyap
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:International Journal of Mycobacteriology
Subjects:
Online Access:http://www.ijmyco.org/article.asp?issn=2212-5531;year=2023;volume=12;issue=1;spage=100;epage=102;aulast=Kumar
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author Ravi Kumar
Maheshwar Lakkireddy
Deepak Maley
Srikanth Eppakayala
Sreedhar Sathu
Adinarayana Kashyap
author_facet Ravi Kumar
Maheshwar Lakkireddy
Deepak Maley
Srikanth Eppakayala
Sreedhar Sathu
Adinarayana Kashyap
author_sort Ravi Kumar
collection DOAJ
description Tubercular tenosynovitis of the wrist with carpal tunnel syndrome (CTS) is a rare occurrence. The authors present a case of tubercular flexor tenosynovitis of the wrist with CTS. A 60-year-old female presented with complaints of swelling in the volar aspect of the right wrist with numbness of the first three fingers for the past 6 months. Clinical and radiological diagnosis of chronic flexor tenosynovitis with median nerve compression neuropathy was made. The patient was operated with carpal tunnel release and total tenosynovectomy. Histopathology showed features suggestive of Koch's etiology. The patient was started with antitubercular therapy (ATT) and followed up regularly. Carpal tunnel symptoms subsided immediately after surgery and there was no recurrence of swelling at the last follow-up. Carpal tunnel release and tenosynovectomy should be performed at the earliest possible and followed up with ATT for better outcomes in tubercular tenosynovitis of the wrist with CTS.
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spelling doaj.art-4d7465f546b44b4ba4c7618b9aa4e25b2023-03-21T11:07:45ZengWolters Kluwer Medknow PublicationsInternational Journal of Mycobacteriology2212-55312212-554X2023-01-0112110010210.4103/ijmy.ijmy_201_22Flexor tenosynovitis of the wrist with carpal tunnel syndromeRavi KumarMaheshwar LakkireddyDeepak MaleySrikanth EppakayalaSreedhar SathuAdinarayana KashyapTubercular tenosynovitis of the wrist with carpal tunnel syndrome (CTS) is a rare occurrence. The authors present a case of tubercular flexor tenosynovitis of the wrist with CTS. A 60-year-old female presented with complaints of swelling in the volar aspect of the right wrist with numbness of the first three fingers for the past 6 months. Clinical and radiological diagnosis of chronic flexor tenosynovitis with median nerve compression neuropathy was made. The patient was operated with carpal tunnel release and total tenosynovectomy. Histopathology showed features suggestive of Koch's etiology. The patient was started with antitubercular therapy (ATT) and followed up regularly. Carpal tunnel symptoms subsided immediately after surgery and there was no recurrence of swelling at the last follow-up. Carpal tunnel release and tenosynovectomy should be performed at the earliest possible and followed up with ATT for better outcomes in tubercular tenosynovitis of the wrist with CTS.http://www.ijmyco.org/article.asp?issn=2212-5531;year=2023;volume=12;issue=1;spage=100;epage=102;aulast=Kumarcarpal tunnel syndromeextrapulmonary tuberculosistenosynovitis of wristtuberculosis of wrist
spellingShingle Ravi Kumar
Maheshwar Lakkireddy
Deepak Maley
Srikanth Eppakayala
Sreedhar Sathu
Adinarayana Kashyap
Flexor tenosynovitis of the wrist with carpal tunnel syndrome
International Journal of Mycobacteriology
carpal tunnel syndrome
extrapulmonary tuberculosis
tenosynovitis of wrist
tuberculosis of wrist
title Flexor tenosynovitis of the wrist with carpal tunnel syndrome
title_full Flexor tenosynovitis of the wrist with carpal tunnel syndrome
title_fullStr Flexor tenosynovitis of the wrist with carpal tunnel syndrome
title_full_unstemmed Flexor tenosynovitis of the wrist with carpal tunnel syndrome
title_short Flexor tenosynovitis of the wrist with carpal tunnel syndrome
title_sort flexor tenosynovitis of the wrist with carpal tunnel syndrome
topic carpal tunnel syndrome
extrapulmonary tuberculosis
tenosynovitis of wrist
tuberculosis of wrist
url http://www.ijmyco.org/article.asp?issn=2212-5531;year=2023;volume=12;issue=1;spage=100;epage=102;aulast=Kumar
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AT maheshwarlakkireddy flexortenosynovitisofthewristwithcarpaltunnelsyndrome
AT deepakmaley flexortenosynovitisofthewristwithcarpaltunnelsyndrome
AT srikantheppakayala flexortenosynovitisofthewristwithcarpaltunnelsyndrome
AT sreedharsathu flexortenosynovitisofthewristwithcarpaltunnelsyndrome
AT adinarayanakashyap flexortenosynovitisofthewristwithcarpaltunnelsyndrome