Compound palmar ganglion associated with tuberculous arthritis of wrist causing compression of the median and ulnar nerves: Management
Journal Title: IP International Journal of Orthopaedic Rheumatology - Year 2018, Vol 4, Issue 1
Abstract
50 years old male agricultural labourer presented with 5 months history of pain and swelling of the right wrist and hand There was no history of any previous trauma or other constitutional symptoms Patient had associated numbness of fingers of right hand with reduced hand grip On clinical examination a dumb bell shaped swelling was noted on the palmar aspect of wrist and hand with cross fluctuation positive Blood investigations revealed elevated ESR and CRP X ray right wrist showed features of early arthritis Nerve conduction study showed features of entrapment neuropathy of median and ulnar nerve MRI wrist showed features of tuberculous tenosynovitis of flexor tendons with early arthritis of right wrist Patient was treated by excision biopsy of the compound palmar ganglion and started on antituberculous drugs after histopathology confirmed tuberculous tenosynovitis Post operatively the patient improved clinically with reduction in pain and on followup numbness and functional activity of right hand improved well Keywords Compound palmar ganglion Tuberculous tenosynovitis Tuberculous arthritis of the wrist Melon seed body Rice body
Authors and Affiliations
Kosalaraman Padmanabhan, Balamurugan Palanisamy, Mohan Prasad Muthusamy
Keywords
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- EP ID EP486044
- DOI 10.18231/2455-6777.2018.0007
- Views 109
- Downloads 0
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