Three Cases of Tuberculous Tenosynovitis

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Tuberculous tenosynovitis is said to be a rare case, which, together with the decreasing tendency of bone and joint tuberculosis, leads us to have less interest and make an error in diagnosis. Our investigation has revealed the fact that there are only forty-seven cases in Japan.Now we'll inform you of the treatments of tuberculous tenosynovitis, which we have recently experienced; two of them are that of flexor tendon of wrist, and the other, of extensor tendon of wrist. The patients are all of advanced age, …seventy-one years, seventy-three years, and sixty-three years, …and their cases were diagnosed as tuberculous tenosynovitis on the histological examination after the operation.One of the three cases was complicated with tuberculous arthritis, and another had the history of two years' treatment of infectious tenosynovitis after the injury in the ring finger and little finger fourteen years ago.All the three cases are progressing favorably owing to the use of anti-tuberculous drugs and also by the surgical treatment, that is, by the excision of tendon-sheaths in granulative hyperplasia, and there is no tendency of a return of inflammation.
西日本整形・災害外科学会の論文