Tuberculous Tenosynovitis A report of four cases of tuberculous tenosynovitis of the hand

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There are few reports on tuberculous tenosynovitis, but probably many sergeons encounter with the disease.We treated four cases of tuberculous tenosynovitis of the hand.Case 1. 35 aged male; Patient has had suffered from swelling and pain in the left middle finger for a year. He received curattage and removal of granulation tissues from the synovial tendon sheath. Tuberculous bacilli cultured from the specimen.Case 2. 21 aged male; Patient was injured in the left hand at the sea, followed by swelling and pain in the dorsum of the hand. He had curattage eight times for two years.Case 3. 59 aged male; He has had swelling and pain over the volar surface of the left forearm for one and half year. Many rice bodies were found at surgery in the tendon sheath.Case 4. 43 aged female; She has noted swelling and pain in the right ring finger for a year. At operation watery seropurulent fluid was found in the flexor tendon sheath of the ring finger.Frequently the correct diagnosis is not made for many months or even years because of the slow developement of the symptomes. The presence of a chronic dough-like sausageshaped swelling over the flexor or extesor tendons is practically always due to tuberculosis, and if rice bodies can be demonstrated the diagnosis is practically certain.The operative treatment with anti tuberculous drags are considerate the best.
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