Year: 2025
Type: article
Study design: Case Report
Abstract: Palmar bursitis and tenosynovitis of the flexor tendon sheath around the wrist is a rare manifestation of musculoskeletal tuberculosis. It has an indolent course and diagnosis is often delayed especially when it is an isolated finding. Timely diagnosis can prevent complications like bony involvement, tendon rupture and neuropathy. Here, we report a case of a 42-year-old male patient who presented with gradually progressive painful swelling of the left palm, wrist and distal forearm. Ultrasound and MRI revealed synovial thickening and distension of the palmar bursae and flexor tendon sheath with fluid and rice bodies. Open excisional biopsy was done, and thickened synovium and rice bodies were removed. Histopathology showed epithelioid granulomas with Langhans type giant cells and caseation necrosis. Anti-tubercular therapy was administered, and on follow-up, there was no recurrence of symptoms.
Source: Cureus
DOI: 10.7759/cureus.82652
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
Funders: U.S. Department of Veterans Affairs, Breast Cancer Research Foundation, Eli Lilly and Company, Univerzita Karlova v Praze, National Center for Global Health and Medicine, UK Research and Innovation, Shanghai Municipal Health Commission, National Institute for Health and Care Research, University of Warwick, Deutsche Forschungsgemeinschaft, National Natural Science Foundation of China, Austrian Science Fund, Ministero della Salute, Science and Technology Commission of Shanghai Municipality, Natural Science Foundation of Guangdong Province, Israel Science Foundation, National Health Research Institutes, Ministerio de Ciencia e Innovación, Centre Hospitalier Universitaire de Nîmes, University of California, San Francisco, National Key Research and Development Program of China, Fundamental Research Funds for the Central Universities, Natural Science Basic Research Program of Shaanxi Province, National Institute on Aging, National Heart, Lung, and Blood Institute, National Institute of Mental Health
OpenAlex ID: W4409609637