Tuberculous Extensor Tenosynovitis Presenting as Huge Mass on the Dorsum of the Hand

Oussama Mansour; Mohamad K Moussa; Zaynab Khalaf; Hussein Zreik; Ryan Bou Raad

doi:10.7759/cureus.10236

Tuberculous Extensor Tenosynovitis Presenting as Huge Mass on the Dorsum of the Hand

Cureus. 2020 Sep 3;12(9):e10236. doi: 10.7759/cureus.10236.

Authors

Oussama Mansour¹, Mohamad K Moussa², Zaynab Khalaf³, Hussein Zreik⁴, Ryan Bou Raad⁵

Affiliations

¹ Orthopedics and Traumatology, Al Zahraa Hospital, University Medical Center, Beirut, LBN.
² Orthopedic Surgery, Lebanese University Faculty of Medical Science, Beirut, LBN.
³ Endocrinology, Diabetes and Metabolism, Lebanese University Faculty of Medical Science, Beirut, LBN.
⁴ Orthopaedics and Trauma, Al Zahraa Hospital, University Medical Center, Beirut, LBN.
⁵ Orthopaedics and Traumatology, Lebanese University Faculty of Medicine, Beirut, LBN.

Abstract

Infectious tuberculous tenosynovitis (TS) of the extensor tendons of the wrist is an exceptional location of musculoskeletal tuberculosis. We present a case of tuberculous extensor TS in a 52-year-old diabetic male patient presenting as a huge mass on the dorsum of the hand, in the absence of other pulmonary or extrapulmonary manifestation of tuberculosis. This report increases physicians' vigilance when dealing with patients with risk factors of tuberculosis, allowing early diagnosis and optimal treatment.

Keywords: extensor tenosynovitis; hand; infectious tenosynovitis; tuberculosis.

Publication types

Case Reports