Tuberculous Tenosynovitis of the Wrist with Subluxation of the Distal Radioulnar Joint -Case Report-

Journal of the Korean Society for Surgery of the Hand 2000;5(1):127-131.
Published online January 1, 2000.

Sang-Soo Lee, Ho-Yeun Hwang, Dong-Hee Lee, I1-Hyun Nam, Sang-Un Lee

원위 요척관절의 아탈구를 동반한 수근배부의 결핵성 건활액막염 -증 례 보 고-

이상수, 황호연, 이동희, 남일현, 이상언

Abstract

In the tuberculosis of bone and joint, five clinical syndromes have been recognized. They are spondylitis, peripheral arthritis, osteomyelitis or dactylitis, tenosynovitis or bursitis and Poncet's disease. The tenosynovitis of the wrist is very rare, and can be diagnosed by not plain film but post-contrast MRI and operative finding. The authors described the case which was tenosynovitis of the wrist with the subluxation of the distal radioulnar joint. This case was not combined with pulmonary tuberculosis and confirmative diagnosis of tuberculosis could be made by culture and pathologic findings. Satisfactory result was obtained by synovectomy, curettage, drainage, ORIF with K-wire and antituberculous medication for 1 year.