Wrist Extensor Tenosynovitides: A Case Report
Background: Rice bodies can be found in rheumatic diseases, infectious diseases, and osteoarthritic joints. Rice bodies' most common locations include the subacromial bursa of the shoulder and the knee, while rice body synovitis of the wrist extensor tendons is uncommon. We have presented the...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Tehran University of Medical Sciences
2023-07-01
|
| Series: | Journal of Orthopedic and Spine Trauma |
| Subjects: | |
| Online Access: | https://jost.tums.ac.ir/index.php/jost/article/view/401 |
| _version_ | 1797742521872285696 |
|---|---|
| author | Aidin Arabzadeh Hosein Hamdolazadeh Kian Zohrabi Mahmoud Farzan Omid Salkhori |
| author_facet | Aidin Arabzadeh Hosein Hamdolazadeh Kian Zohrabi Mahmoud Farzan Omid Salkhori |
| author_sort | Aidin Arabzadeh |
| collection | DOAJ |
| description |
Background: Rice bodies can be found in rheumatic diseases, infectious diseases, and osteoarthritic joints. Rice bodies' most common locations include the subacromial bursa of the shoulder and the knee, while rice body synovitis of the wrist extensor tendons is uncommon. We have presented the case of tuberculous tenosynovitis with rice body formation in the extensor tendon sheaths of the hand and wrist.
Case Report: A 51-year-old man presented with swelling and mild pain in the dorsal side of left wrist, hand, and proximal phalanx of the second finger. He stated a history of traumatic injury to the proximal phalanx of the index finger. Radiographs showed a soft-tissue mass shadow, and magnetic resonance imaging (MRI) showed edema and soft tissue swelling around extensor tendons extending into the distal forearm and ulnar side of the second finger in favor of tenosynovitis. Laboratory test results were normal. The patient had a negative Mantoux test result and no history of mycobacterial exposure. Surgical exploration of the lesion revealed rice bodies in the synovial sheath of extensor tendons in the wrist, extending distally to the dorsal aspect of the hand, especially the radial side. Removal of the rice bodies and complete excision of the sheath and tenosynovectomy was performed.
Conclusion: As in our case, even in the absence of past tuberculosis (TB) infection or exposure, Mycobacterium TB (MTB) should be considered in the differential diagnosis of long-standing extensor tenosynovitis in the hand and wrist
|
| first_indexed | 2024-03-12T14:42:02Z |
| format | Article |
| id | doaj.art-6c781c72f2b44e4b94bd1d981c56b1aa |
| institution | Directory Open Access Journal |
| issn | 2538-2330 2538-4600 |
| language | English |
| last_indexed | 2024-03-12T14:42:02Z |
| publishDate | 2023-07-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Orthopedic and Spine Trauma |
| spelling | doaj.art-6c781c72f2b44e4b94bd1d981c56b1aa2023-08-16T06:18:02ZengTehran University of Medical SciencesJournal of Orthopedic and Spine Trauma2538-23302538-46002023-07-019110.18502/jost.v9i1.12569Wrist Extensor Tenosynovitides: A Case ReportAidin Arabzadeh0Hosein Hamdolazadeh1Kian Zohrabi2Mahmoud Farzan3Omid Salkhori4Department of Orthopedics and Trauma Surgery, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, IranDepartment of Orthopedics and Trauma Surgery, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, IranDepartment of Orthopedics and Trauma Surgery, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, IranDepartment of Orthopedics and Trauma Surgery, Joint Reconstruction Research Center, Imam Khomeini HospitalComplex, Tehran University of Medical Sciences, Tehran, IranDepartment of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran Background: Rice bodies can be found in rheumatic diseases, infectious diseases, and osteoarthritic joints. Rice bodies' most common locations include the subacromial bursa of the shoulder and the knee, while rice body synovitis of the wrist extensor tendons is uncommon. We have presented the case of tuberculous tenosynovitis with rice body formation in the extensor tendon sheaths of the hand and wrist. Case Report: A 51-year-old man presented with swelling and mild pain in the dorsal side of left wrist, hand, and proximal phalanx of the second finger. He stated a history of traumatic injury to the proximal phalanx of the index finger. Radiographs showed a soft-tissue mass shadow, and magnetic resonance imaging (MRI) showed edema and soft tissue swelling around extensor tendons extending into the distal forearm and ulnar side of the second finger in favor of tenosynovitis. Laboratory test results were normal. The patient had a negative Mantoux test result and no history of mycobacterial exposure. Surgical exploration of the lesion revealed rice bodies in the synovial sheath of extensor tendons in the wrist, extending distally to the dorsal aspect of the hand, especially the radial side. Removal of the rice bodies and complete excision of the sheath and tenosynovectomy was performed. Conclusion: As in our case, even in the absence of past tuberculosis (TB) infection or exposure, Mycobacterium TB (MTB) should be considered in the differential diagnosis of long-standing extensor tenosynovitis in the hand and wrist https://jost.tums.ac.ir/index.php/jost/article/view/401Case ReportsTendinopathyWrist |
| spellingShingle | Aidin Arabzadeh Hosein Hamdolazadeh Kian Zohrabi Mahmoud Farzan Omid Salkhori Wrist Extensor Tenosynovitides: A Case Report Journal of Orthopedic and Spine Trauma Case Reports Tendinopathy Wrist |
| title | Wrist Extensor Tenosynovitides: A Case Report |
| title_full | Wrist Extensor Tenosynovitides: A Case Report |
| title_fullStr | Wrist Extensor Tenosynovitides: A Case Report |
| title_full_unstemmed | Wrist Extensor Tenosynovitides: A Case Report |
| title_short | Wrist Extensor Tenosynovitides: A Case Report |
| title_sort | wrist extensor tenosynovitides a case report |
| topic | Case Reports Tendinopathy Wrist |
| url | https://jost.tums.ac.ir/index.php/jost/article/view/401 |
| work_keys_str_mv | AT aidinarabzadeh wristextensortenosynovitidesacasereport AT hoseinhamdolazadeh wristextensortenosynovitidesacasereport AT kianzohrabi wristextensortenosynovitidesacasereport AT mahmoudfarzan wristextensortenosynovitidesacasereport AT omidsalkhori wristextensortenosynovitidesacasereport |