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: Kibar Dit
Country: Guinea-Bissau
Language: English (Spanish)
Genre: Finance
Published (Last): 23 April 2017
Pages: 66
PDF File Size: 15.84 Mb
ePub File Size: 8.29 Mb
ISBN: 992-9-76743-425-2
Downloads: 34273
Price: Free* [*Free Regsitration Required]
Uploader: Mak

Entire sensory territory of the median nerve was numb. Histopathology of ganglionic tissue magnified view Click here to view. Saudi J Sports Gangloin ; How to cite this article: Clinical photo Click here to view. Operative finding of melon seed bodies are highly suggestive of tuberculous tenosynovitis.

The aim of this study is to make awareness among practitioners so that the condition can be diagnosed and treated at an early stage before it spreads and destroy the surrounding structures.

There were no other detectable foci of infection. Compound palmar ganglion with carpal tunnel syndrome. Intraoperative photo Click here to view. palnar

One year later, having completed anti tubercular therapy, patient is comfortable with using his left hand. Biceps tenosynovial rice bodies. A rare manifestation of tuberculosis.

There were no contractures and the scar remained healthy. A mass lesion of the wrist: There are no signs of recurrence and no other foci of infection. In that situation, a debulking tenosynovectomy and chemotherapy is a must for a better prognosis.


It can improve the patient functionally by preventing a subsequent arthrodesis which is a major concern for both the surgeon and the patient.

Compound palmar ganglion with carpal tunnel syndrome.

A case report and literature review. Can Assoc Radiol J ; He had loss of appetite and loss of weight for six months prior to admission. All the radiographic and laboratory tests were within the normal limits. J Med Sci ; Mycobacterium tuberculosis is the most common causative organism for such an extensive lesion over the wrist and hand and is always confirmed by culture.

Multiple rice bodies Click here to view. A case report and literature review. Patient was treated with thorough debridement and decompression of carpal tunnel along with anti-tubercular therapy. Tuberculous extensor tenosynovitis of the wrist with extensor pollicis longus rupture: Click below to enlarge Figure 2: Movements of wrist and fingers were limited along with loss of power in the fingers.

Examination revealed positive cross fluctuation, restriction of movements and islands of numbness over median nerve territory. Tuberculous tenosynovitis gangluon the flexor tendons of the wrist and hand.

Furthermore, the patient had a history of paresthesias gangljon numbness of median nerve distribution. International Journal of Case Reports and Images ;3 2: Patients usually present after six months to one year of being diseased when the condition had already progressed to an extent.


Early diagnosis and intervention give good prognosis.

Compound palmar ganglion with carpal tunnel syndrome.

Tuberculosis of the Skeletal System: Click below to enlarge Figure 1: Tuberculous tenosynovitis of the hand. Thus, we conclude insisting that the possibility of tuberculosis in a chronic flexor tenosynovitis of the wrist should always be kept in mind.

Compound palmar ganglion with carpal tunnel syndrome. Inflamed tendon sheaths were excised after palmaar of the median nerve. Sitemap What’s New Feedback Disclaimer.

There was no similar history in the family and no history of contact with any tuberculous patient. Radiographs of the wrist and hand were normal without any involvement of the underlying bones.

J Coll Physicians Surg Pak ; Swelling of right wrist and palm Click here to view. How to cite this URL: Although rare, tubercular tenosynovitis with carpal tunnel syndrome must be kept in mind as a differential diagnosis of chronic tenosynovitis especially ganglio the developing countries.

Rice bodies, millet seeds, and melon seeds in tuberculous tenosynovitis of the hand and wrist. The patient was successfully treated with debulking operation and anti-tubercular drugs.