- 期刊
- OpenAccess
Compound Palmar Ganglion: A Tubercular Manifestation of Flexor Tenosynovitis of the Wrist
並列摘要
Introduction: Compound palmar ganglion of tuberculous origin is uncommon. The clinical picture is very typical and is always confirmed by histopathology. The condition is best managed in its early stages before it spreads to the underlying bones causing destruction. Case report: Here, we report a 55-year-old male who presented with pain and progressive swelling over the left wrist and hand. Examination revealed positive cross fluctuation, restriction of movements and islands of numbness over median nerve territory. He was diagnosed to have chronic flexor tenosynovitis of left wrist and was treated with debulking tenosynovectomy along with anti tubercular therapy. He responded to treatment achieving full functional recovery. Conclusion: Compound palmar ganglion is considered a severe form of extra-pulmonary musculoskeletal tuberculosis. Intra-operative finding of melon seed bodies or rice bodies as seen in our case is pathognomonic of tuberculous tenosynovitis. According to literature, extensive debridement and full course chemotherapy brings about a better prognosis. Early diagnosis, complete debulking and appropriate anti-tubercular therapy is the recommended treatment. It can improve the patient functionally by preventing a subsequent arthrodesis which is a major concern for both the surgeon and the patient.