Flexor tenosynovitis of the wrist including rice bodies

Rice Bodies Accompanied by Tenosynovitis of the Wrist: A Case Report and Literature Review

“…However, the presence of rice bodies in the wrist is less common [1,3,4]. We carried out a thorough database search through PubMed (with the search query: "rice bod*" AND wrist) to identify all similar case reports in the literature (Tables 1, 2) [1,[4][5][6][7][8][9][10][11][12]. In terms of clinical presentation, our case was quite similar to cases observed in the literature, highlighted by a mass that enlarges progressively with time.…”

“…The presentation is acute (less than six months) [1,3,7] in some cases and chronic in others (more than six months) [6,[9][10][11][12], and thus, some patients present with painful masses, while others present with painless masses. There is no trend in regard to laterality, as some cases present with masses in the right or left wrist [1,5,[11][12][13]. These masses usually present on the dorsum of the wrist or on the volar aspect [1,5,9,10,12,13].…”

“…There is no trend in regard to laterality, as some cases present with masses in the right or left wrist [1,5,[11][12][13]. These masses usually present on the dorsum of the wrist or on the volar aspect [1,5,9,10,12,13]. Laboratory investigations are usually non-specific, and therefore, they are minimally reported in the literature (Table 2).…”

Idiopathic tenosynovitis with rice bodies

“…Synovectomy is indicated in all cases, especially when associated with nerve compression syndromes, but also in order to avoid complications such as spontaneous tendon rupture and possible functional limitations [2,7,30]. Synovectomy with removal of all rice bodies was the treatment of choice in the cases reported by us, followed a three-month interval by the reconstruction of the deep flexor of the fifth finger in Case No.…”

“…Tenosynovitis with abundant "rice bodies" is rarely reported in the literature, most of the cases being associated with tuberculous or non-tuberculous mycobacterial infection [2][3][4][5][6]. Rheumatic disease, trauma and fungal infection were also reported as causes for rice bodies' tenosynovitis [7][8][9][10]. However, cases of rice body tenosynovitis without a known etiology were rarely reported in the literature.…”