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Review
. 2017 May-Aug;50(2):130-137.
doi: 10.4103/ijps.IJPS_73_17.

Synovial tuberculosis of the hand: An ancient disease in an unusual localisation

Renato Franz Matta Ramos  1 , Lucas Cancian  2 , Fernando Calcagnotto  2 , Ricardo Zeni  2 , Gabriel Varela  2 , Tamsin Burgues  3 , Jefferson Braga Silva  2
Affiliations
Review

Synovial tuberculosis of the hand: An ancient disease in an unusual localisation

Renato Franz Matta Ramos et al. Indian J Plast Surg. 2017 May-Aug.

Abstract

Background: Tuberculosis is the most prevalent infectious disease in the world. It is mainly caused by Mycobacterium tuberculosis. Osteoarticular tuberculosis represents 1%-3%. Tenosynovitis is the most common form of the disease in the hand.

Aims: The aim of this study is to present an update of synovial tuberculosis.

Materials and methods: The authors present a literature review, the clinical and surgical management and case reports.

Results: The outcomes were satisfactory and were not report complications.

Conclusions: Early diagnosis, surgical transection of the transverse carpal ligament, debridement and complete excision of the infected synovium may be required, along with antituberculosis drugs. Knowledge of this disease in the hand can provide a better diagnosis and outcome.

Keywords: Hand; joint; synovial; tuberculosis.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Right hand tumour
Figure 2
Figure 2
X-ray details
Figure 3
Figure 3
Cavity after synovectomy
Figure 4
Figure 4
Wrist tumour
Figure 5
Figure 5
Extensive synovial hypertrophy and rice bodies
Figure 6
Figure 6
X-ray of index finger
Figure 7
Figure 7
Magnetic resonance imaging of index finger with synovial hypertrophy
Figure 8
Figure 8
Volar wrist tumour
Figure 9
Figure 9
Rice bodies
Figure 10
Figure 10
Computed tomography with peritendinous hypertrophy
Figure 11
Figure 11
Wrist tumour
Figure 12
Figure 12
Extensive synovial hypertrophy and rice bodies
Figure 13
Figure 13
Functional result
Figure 14
Figure 14
Adequate flexor movement
Figure 15
Figure 15
Final aesthetic result
See this image and copyright information in PMC

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