Tuberculous Tenosynovitis of the Hand

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Journal of the Korean Society for Surgery of the Hand 1996;1(1):91-97.
Published online January 1, 1996.

Soo Bong Hahn,Eung Shick Kang,Joon Seok Sohn

수부의 결핵성 건초염

한수봉,강응식,손준석

Abstract

The tuberculous tenosynovitis of the hand is infrequent than other organ of the body and it is difficult to diagnosis, development is slow and not infrequent abscence of pain or functional disturbances until late intercourse of the disease. Sixteen cases of tuberculous tenosynovitis of the had were confirmed by histopathologic studies from January 1980 to September 1993 and twelve cases were followed up more than 2 years. The results are as follows. 1. The initial symptoms were pain and swelling, and the mean period until treatment was 18 months. 2. The incidence showed a predilection for the second and third decades . 3. The disease showed a rather definite predilection for right hand and for the flexor tendon. 4. Other tuberculous lesion of the body were 3cases of pulmonary tuberculosis and one case of tuberculous meningitis and one case of wrist joint involvement. 5. The erythrocyte sedimentation rate were increased in 3 cases(60%) for men and in 5 cases(71%) for women. 6. Synovectomy and antituberculous medication was done and the result was almost good, except the recurrence of two cases.

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