Tuberculosis tenosynovitis in the wrist: a case report.

Acta ortopedica mexicana Pub Date : 2025-07-01
R Penagos, R De Los Reyes, M Cortés-Molano, S Sarzosa-Varona, C E Rivera-Molano, M A Cortés-Molano, S Urueña-Barrios
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Abstract

Articular tuberculosis is a rare condition, with extrapulmonary presentations most commonly appearing in joints such as the hip or knee. It is usually associated with conditions like immunosuppression or a history of pulmonary tuberculosis. Diagnosis involves imaging or pathology, and treatment typically involves surgical intervention along with medication. Here is the case of a 25-year-old male from Barranquilla, Colombia. He lacks classical risk factors for pulmonary tuberculosis but has a history of open reduction of a traumatic fracture in his right distal radius four years ago. He presented with persistent pain, joint swelling, and limited movement, leading to removal of the osteosynthesis material. Despite this, the pain persisted, prompting further investigation with X-ray and MRI of the wrist. These imaging studies revealed findings compatible with tuberculosis. Based on these results, the medical team opted for a surgical procedure. An oncological resection of the synovium was performed, and the material that was removed was used for histological studies to confirm suspicions of extrapulmonary tuberculosis. Following these procedures, the patient underwent physical therapy and began tuberculosis medication, resulting in significant improvement of his symptoms.

手腕结核性腱鞘炎1例。
关节结核是一种罕见的疾病,肺外表现最常见于髋关节或膝关节等关节。它通常与免疫抑制或肺结核史等疾病有关。诊断包括影像学或病理学,治疗通常包括手术干预和药物治疗。这是一个来自哥伦比亚巴兰基利亚的25岁男性病例。他没有肺结核的典型危险因素,但有四年前右桡骨远端创伤性骨折开放性复位术的病史。患者表现为持续疼痛、关节肿胀和活动受限,导致骨合成材料取出。尽管如此,疼痛持续存在,促使进一步的x光检查和手腕MRI检查。这些影像学检查显示的结果与肺结核相符。基于这些结果,医疗小组选择了外科手术。对滑膜进行肿瘤切除,切除的材料用于组织学研究,以确认肺外结核的怀疑。在这些程序之后,患者接受了物理治疗并开始结核病药物治疗,导致其症状显著改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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