特異な病像を呈した腱鞘滑膜炎の小経験

概要

論文の詳細を見る
Tenosynovitis in hand and finger is exudative or proliferative inflammation of tenosynovium. Clinically, it shows the symptom of local swelling, palpable tumors, motion disturbance of fingers in spite of its different causes. And it sometimes causes tendon rupture or nerve palsy. Diagnosis is made by clinical symptoms, laboratory data, bacterial and fungal culture and histopathology.We presented three cases of tenosynovitis associated with rupture of extensor pollicis longus tendon (Case No. 1) and carpal tunnel syndrome (Case No. 2). One case out of three was caused by tuberculosis. But in other two cases, clear diagnosis was not estabilshed even after such thorough examinations. In this paper, we discussed some problems of diagnostic process, and emphasized that tenosynovitis in hand fingers had possibility of causing tendon rupture and in carpal canal causing carpal tunnel syndrome regardless of its etiology.