Talukder S, Bandyopadhay A, Biswas S, Chakraborty S, Chakrabarti S. Imaging of Compound Palmar Ganglion with Pathologic Correlation. S Afr J Rad. Abstract: Compound palmar ganglion or tuberculous tenosynovitis of flexor tendons of wrist and hand is a rare disease. The incidence of extra-pulmonary. Compound palmar ganglion of tubercular origin with carpal tunnel syndrome is an uncommon condition. The aim of this study is to make.

Author: Gale Voodoobar
Country: Croatia
Language: English (Spanish)
Genre: Sex
Published (Last): 19 July 2013
Pages: 287
PDF File Size: 3.80 Mb
ePub File Size: 6.68 Mb
ISBN: 345-7-83061-835-6
Downloads: 20831
Price: Free* [*Free Regsitration Required]
Uploader: Dailabar

Compound palmar ganglion with carpal tunnel syndrome.

Mycobacterium tuberculosis is the most common causative organism for such an extensive lesion over the wrist and hand and is always confirmed by culture. None Conflict of interest: Rice bodies, millet seeds, and melon ganglioj in tuberculous tenosynovitis of the hand and wrist. Although rare, tubercular tenosynovitis with carpal tunnel syndrome must be kept in mind as a differential diagnosis of chronic tenosynovitis especially in the developing countries.

Click below to enlarge Figure 3: Patient was treated with thorough debridement and decompression of carpal tunnel along with anti-tubercular therapy. Furthermore, the patient had a history of paresthesias and numbness of median nerve distribution.


J Orthop Allied Sci ;5: Compound palmar ganglion, Chronic flexor tenosynovitis, Melon seed bodies. Compound palmar ganglion is considered a severe form of extra-pulmonary musculoskeletal tuberculosis. PCR was positive for mycobacterium tuberculosis.

J Med Case Rep ;3: Early post operative mobilization helps to regain a powerful hand grip and also prevents stiffness and adhesions. A new look at an old disease. Biceps tenosynovial rice bodies.

Examination revealed positive cross fluctuation, restriction of movements and islands of numbness over median nerve territory.

In that situation, a debulking tenosynovectomy and chemotherapy is a must for a better prognosis. How to cite this article: A tubercular manifestation of flexor tenosynovitis of the wrist. Compound palmar ganglion with carpal tunnel syndrome.

A rare manifestation of tuberculosis. J Coll Physicians Surg Pak ; The one year follow up of our case reveals no signs of recurrence and the patient had returned to his best functional status. Tuberculous extensor tenosynovitis of the wrist with extensor pollicis longus rupture: Evening rise of temperature was more marked for the past one month. The condition is best managed in its early stages before it spreads to the underlying bones causing destruction. Discussion Tuberculosis is still widely present in many developing countries, especially more so in immunocompromised individuals.


With lack of pulmonary symptoms, diagnosing this condition is quite difficult.

All the radiographic and laboratory tests were within the normal limits. Here, we report a year-old male who presented with pain and progressive swelling over the left wrist and hand.

Compound palmar ganglion with carpal tunnel syndrome.

Radiographs of the wrist and hand were normal without any involvement of the underlying bones. J Pediatr Orthop B ; J Bone Joint Surg Br ; Eur J Plastic Surg ; The palmar synovial bursa, covered by a dense palmar fascia, is not a common site for tuberculosis. Fibrinous material and Melon seed bodies. He had loss of appetite and loss of weight for six months prior to admission.

Multiple rice body formation accompanying the chronic nonspecific tenosynovitis of flexor tendons of the wrist.

J Orthop Surg Hong Kong ; J Coll Physicians Surg Pak ;