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Radiologic-Pathologic correlation


Isolated tuberculous tenosynovitis of the anterior tibial and extensor digitorum longus tendons.

Berhan GençAynur SolakAslan MaydaNazime Sen
Departments of Radiology, Orthopedics and Traumatology, Microbiology, Şifa University School of Medicine, İzmir, Turkey
Date of Submission: 24-Jun-2013, Date of Acceptance: 18-Jul-2013, Date of Web Publication: 27-Sep-2013.
Corresponding Author:
Corresponding Author

Berhan Genç

Department of Radiology, Şifa University School of Medicine, 35240 İzmir, Türkiye.
E-mail: be.genc@hotmail.com

Corresponding Author:
Corresponding Author

Berhan Genç

Department of Radiology, Şifa University School of Medicine, 35240 İzmir, Türkiye.
E-mail: be.genc@hotmail.com

DOI: 10.4103/2156-7514.119015 Facebook Twitter Google Linkedin

ABSTRACT


Musculoskeletal system is involved in 1-5% of extrapulmonary cases of tuberculosis. Tuberculous tenosynovitis is a rare form of musculoskeletal tuberculosis. Tuberculosis of the tendon sheath in the hand has been seen in a few cases. Involvement of the tendons of the leg is less common. Diagnosis is not easy as there are no specific clinical symptoms or signs. A 33-year-old male presented with painful swelling in the distal right lower limb that caused restriction of movement. Imaging studies showed inflammation and infection of the extensor digitorium longus and tibialis anterior tendons. Histopathological studies showed a necrotizing granulomatous inflammation in the synovial tissue. A diagnosis of tuberculosis was made and medical treatment was initiated that proved successful. Patient remained infection-free at 26-month follow-up examination.
Keywords: Foot, Tenosynovitis, Tuberculosis

Cited in 1 Document

  1. Jeffrey Chun Yin Lee and Tun Hing Lui (2018) Tendoscopic Synovectomy of Tibialis Anterior Tendon of the Ankle. Arthroscopy Techniques 7(12):e1243. doi: 10.1016/j.eats.2018.08.009

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