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

Ramos, Renato Franz Matta; Cancian, Lucas Tomkowsk; Calcagnotto, Fernando; Zeni, Ricardo; Varela, Gabriel; Burgues, Tamsin; Silva, Jefferson Braga

doi:10.4103/ijps.ijps_73_17

Cited by 9 publications

(7 citation statements)

References 28 publications

(104 reference statements)

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“…Woon et al emphasized [ 28 ] that intraoperative findings of "rice bodies" are highly suggestive of tuberculous tenosynovitis. However, it should be pointed out that “rice bodies” can also be seen in other wrist diseases, such as seronegative arthritis, rheumatoid arthritis, systemic lupus erythematosus (SLE), and osteoarthritis of the joint [ 31 ]. Hassanpour reported [ 21 ] the clinical characteristics of 12 patients with Mycobacterium tuberculosis–induced CTS, they believed that there may be no correlation between TB-induced CTS and pulmonary TB based on clinical signs and symptoms or radiologic findings.…”

Section: Discussionmentioning

confidence: 99%

Clinical features and treatment outcome of wrist tuberculosis in adult- a retrospective study of 84 consecutive cases with minimum of 2 years follow up

Yushan

Yalikun

Hamiti

et al. 2022

BMC Musculoskelet Disord

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Background Wrist tuberculosis (TB) is a rare disease that may result in residual deformity, pain, or stiffness even after proper antitubercular chemotherapy (ATT) and surgical intervention. The aim of our study is to present clinical features and functional outcomes of wrist TB in a consecutive series of 84 adult patients with a minimum of 2 years of follow-up. Methods Clinical features and treatment outcomes of 84 consecutive adult patients with wrist TB from January 2003 to June 2018 including 45 men and 39 women, with a mean age of 46.8 years (18–84) were retrospectively analyzed. Data were collected on participants’ demographic details. The primary outcome measures were QuickDASH score, grip strength, Visual Analogue Scale (VAS), and PRWHE. Secondary outcomes include health-related quality of life was evaluated using the EuroQol five-dimension five-level (EQ-5D-5L), assessment and postoperative complications of patients who underwent operation were also recorded. Results All 84 patients with an average follow-up of 50.8 (24–105) months. The mean duration of symptoms before treatment was 10.5 months (2–21). There were 27 patients with bony and 57 with primarily soft-tissue involvement based on preoperative evaluation of plain radiographs and MRI. There were 33 patients treated with ATT and 51 patients were treated with surgery followed by ATT. Among them, 13 patients (15.5%) underwent incision and decompression, 14 patients (16.7%) underwent wrist synovectomy, 13 patients (15.5%) underwent wrist joint fusion by plate fixation, and 11 patients (13.1%) underwent wrist joint fusion by external fixation. At the last clinical visit, the QuickDASH, and PRWHE scores of all patients decreased significantly, the VAS improved from 5.9 to 1.4, EQ-5D-5L utility index improved from 0.36 to 0.88, EQ-VAS improved from 40.2 to 89.1. All patients indicated good wrist recovery at the last follow-up, and the treatment achieved satisfactory clinical outcomes. Conclusion The onset of wrist TB is insidious; early diagnosis, good patient compliance, and surgery combined with ATT are crucial steps for treatment of wrist TB, and also essential for the patient's postoperative recovery. Wrist arthrodesis has achieved satisfactory results in the treatment of severe wrist TB.

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Section: Discussionmentioning

confidence: 99%

Clinical features and treatment outcome of wrist tuberculosis in adult- a retrospective study of 84 consecutive cases with minimum of 2 years follow up

Yushan

Yalikun

Hamiti

et al. 2022

BMC Musculoskelet Disord

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“…It has been identified in only a small number of cases in adults [6][7][8]. There have been, however, more reports of TB tenosynovitis or dactylitis in the hands, with swellings and pain, rather than cutaneous lesions [9][10][11][12][13][14][15][16].…”

Section: Discussionmentioning

confidence: 99%

A Case Report of Tuberculosis in the Finger

Mahdi¹,

Alabdan²,

Amer³

et al. 2021

Cureus

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“…Around one-third of patients with wrist tuberculosis have a concomitant pulmonary infection, with two-thirds occurring in isolation [6]. Plain radiography of the wrist and chest is needed to establish the diagnosis appropriately.…”

Section: Discussionmentioning

confidence: 99%

Isolated Tuberculosis of the Wrist: Subtle but Destructive

Manas¹,

Bajuri²,

Nawawi³

2020

Cureus

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Tuberculosis is an infection that can occur in every organ of the body, but it rarely affects the wrist joint. We report a rare case of a male patient with wrist tuberculosis with a subtle presentation. Our patient's left wrist had been swollen for four months and progressively worsened, becoming ulcerated one week prior to presentation to our center. He was asymptomatic, but a previous radiograph showed global destruction of the wrist joint. Clinical investigations, that is, polymerase chain reaction test for tuberculosis and histopathological examination, showed classic findings of tuberculosis, which lead to the initiation of antituberculosis treatment.

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

Cited by 9 publications

References 28 publications

Clinical features and treatment outcome of wrist tuberculosis in adult- a retrospective study of 84 consecutive cases with minimum of 2 years follow up

Clinical features and treatment outcome of wrist tuberculosis in adult- a retrospective study of 84 consecutive cases with minimum of 2 years follow up

A Case Report of Tuberculosis in the Finger

Isolated Tuberculosis of the Wrist: Subtle but Destructive

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