Multiple rice body formation accompanying the chronic nonspecific tenosynovitis of flexor tendons of the wrist

Ergün, Tarkan; Lakadamyalı, Hatıce; Aydın, Özgür

doi:10.1007/s11604-008-0270-7

Cited by 37 publications

(39 citation statements)

References 14 publications

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“…[3][4][5][6][7] However, rice bodies in tendon sheaths are rarely seen among non-tuberculosis patients. 8,9 The pathogenesis of rice body formation has not yet been completely determined. Several theories exist regarding the formation of rice bodies including micro-infarction of the synovium with release of tissue into the joint, 3 chronic bursitis, 10 encasement of synovial shedding following inflammation, 11 encasement of fibrin 12 and alteration in viscosity and content of synovial fluid.…”

Section: Discussionmentioning

confidence: 99%

Bilateral recurrent wrist flexor tenosynovitis and rice body formation in a patient with sero-negative rheumatoid arthritis: A case report and review of literature

Iyengar¹,

Manickavasagar²,

Nadkarni³

et al. 2011

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Bilateral recurrent wrist flexor tenosynovitis and rice body formation in a patient with sero-negative rheumatoid arthritis: A case report and review of literature

Iyengar¹,

Manickavasagar²,

Nadkarni³

et al. 2011

International Journal of Surgery Case Reports

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“…Differential diagnosis of compound palmar ganglion includes inflammatory arthritis (rheumatoid arthritis, gouty arthritis), sarcoidosis, infective (pyogenic infections, foreign body tenosynovitis, fungal granuloma) and other lesions of the tendon sheath (pigmented villonodular synovitis, giant cell tumour, amyloidosis and synovial chondromatosis). 2,3,15,16 The diagnosis can be confirmed by open excision biopsy with histopathological examination and mycobaterial culture of the specimen. Lertsrisatit et al 17 reported the sensitivity of synovial fluid AFB staining (32%), culture (80%), histology(65%), PCR(63%) and concluded that PCR can be used as an early diagnostic tool 17 .…”

Section: Discussionmentioning

confidence: 99%

Compound palmar ganglion associated with tuberculous arthritis of wrist causing compression of the median and ulnar nerves: Management

2020

IJOR

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50 years old male, agricultural labourer, presented with 5 months history of pain and swelling of the right wrist and hand. There was no history of any previous trauma or other constitutional symptoms. Patient had associated numbness of fingers of right hand with reduced hand grip. On clinical examination, a dumb bell shaped swelling was noted on the palmar aspect of wrist and hand with cross fluctuation positive. Blood investigations revealed elevated ESR and CRP. X ray right wrist showed features of early arthritis. Nerve conduction study showed features of entrapment neuropathy of median and ulnar nerve. MRI wrist showed features of tuberculous tenosynovitis of flexor tendons with early arthritis of right wrist. Patient was treated by excision biopsy of the compound palmar ganglion and started on anti-tuberculous drugs after histopathology confirmed tuberculous tenosynovitis. Post operatively the patient improved clinically with reduction in pain and on follow-up numbness and functional activity of right hand improved well.

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“…Some studies have indicated that they can be found around the tendon sheaths, but this is a rare occurrence related to rheumatoid arthritis (RA) [14] in which they can be seen within the joints or bursae. In addition, rice bodies can also be observed in cases of systemic lupus erythematosus (SLE), seronegative arthritis, infectious arthritis (TB, atypical mycobacterial infection) nonspecific arthritis, and osteoarthritis (OA).…”

Section: Discussionmentioning

confidence: 99%

“…In addition, rice bodies can also be observed in cases of systemic lupus erythematosus (SLE), seronegative arthritis, infectious arthritis (TB, atypical mycobacterial infection) nonspecific arthritis, and osteoarthritis (OA). [14][15][16][17][18][19] However, Woon et al [20] reported that finding rice bodies along with millet seed or melon seed-shaped lesions is highly suggestive of tuberculous tenosynovitis. They also suggested that the surgeon has to be aware of the significance of loose bodies when performing a routine excision of innocuous looking wrist ganglia.…”

Section: Discussionmentioning

confidence: 99%

Tuberculous Tenosynovitis of the Wrist Mimicking a Volar Wrist Ganglion Cyst and Carpal Tunnel Syndrome

2013

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Bu makalede el bileği fleksör tendonlarında nadir görülen bir tüberküloz tenosinovit olgusu sunuldu. Bu durum kronik tenosinovit ve el bileğindeki kitle lezyonların ayırıcı tanısında göz önünde bulundurulmalı ve hastalara geniş debridman ve kemoterapi uygulanmalıdır.Anahtar sözcükler: Karpal tünel sendromu; tüberküloz tenosinovit; volar el bileği gangliyonu.In this article, we present a rare case of tuberculous tenosynovitis of the wrist flexor tendons. This condition should be considered in the differential diagnosis of chronic tenosynovitis and mass lesions of the wrist and the patient should receive extensive debridement and chemotherapy.Key words: Carpal tunnel syndrome; tuberculous tenosynovitis; volar wrist ganglion.The musculoskeletal involvement is in the amount of approximately %10 percent of all extrapulmonary involvements.[1] The involvement frequencies of anatomic regions are in that order, spine, hip and femur, knee and tibia, ribs.[2] The upper extremity and wrist involvement are rare. [3][4][5] In addition, tuberculous tenosynovitis of the wrist and hand is a rare condition. [6,7] The aim of this study is to remind clinicians about the rare and unusual properties of tuberculous tenosynovitis. Therefore, we present a rare case of tuberculous tenosynovitis of the flexor tendons of the wrist in an old male. CASE REPORTA 48-year-old male was treated at another health center for a year due to painless swelling over the volar region of the left wrist. He also had paresthesia and numbness in the median nerve distribution of the hand and forearm before coming to our clinic. There were no constitutional symptoms or past history of major illness, but he was known to be an alcoholic. Surgery had been performed twice by the primary physician at the other clinic based on a misdiagnosis of a volar wrist ganglion. A physical examination revealed non-tender, fluctuant swelling over the volar aspect of the left wrist. The overlying skin appeared normal, and there was limited flexion of the wrist joint. The swelling extended through the carpal tunnel and ended at the mid-palm. Plain radiographs of the wrist and chest were normal, and laboratory findings, which included the erythrocyte sedimentation rate (ESR), were within normal limits. Magnetic resonance imaging (MRI) of the left wrist revealed tenosynovitis of the flexor digitorum superficialis and

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Multiple rice body formation accompanying the chronic nonspecific tenosynovitis of flexor tendons of the wrist

Cited by 37 publications

References 14 publications

Bilateral recurrent wrist flexor tenosynovitis and rice body formation in a patient with sero-negative rheumatoid arthritis: A case report and review of literature

Bilateral recurrent wrist flexor tenosynovitis and rice body formation in a patient with sero-negative rheumatoid arthritis: A case report and review of literature

Compound palmar ganglion associated with tuberculous arthritis of wrist causing compression of the median and ulnar nerves: Management

Tuberculous Tenosynovitis of the Wrist Mimicking a Volar Wrist Ganglion Cyst and Carpal Tunnel Syndrome

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