Indian Journal of Plastic Surgery
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Year : 2017  |  Volume : 50  |  Issue : 2  |  Page : 130--137

Synovial tuberculosis of the hand: An ancient disease in an unusual localisation

1 Plastic Surgery Department, Bliss Plastic Surgery Clinic, Lima, Peru
2 Hand and Reconstructive Microsurgery Department and School of Medicine, Saint Lucas Hospital, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
3 General Surgery Department, Santa Casa da Misericordia Hospital, Rio de Janeiro, Brazil

Correspondence Address:
Dr. Renato Franz Matta Ramos
Sanchez Carrion Avenue, 417 of 402, San Isidro, Lima 41
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijps.IJPS_73_17

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Background: Tuberculosis is the most prevalent infectious disease in the world. It is mainly caused by Mycobacterium tuberculosis. Osteoarticular tuberculosis represents 1%–3%. Tenosynovitis is the most common form of the disease in the hand. Aims: The aim of this study is to present an update of synovial tuberculosis. Materials and Methods: The authors present a literature review, the clinical and surgical management and case reports. Results: The outcomes were satisfactory and were not report complications. Conclusions: Early diagnosis, surgical transection of the transverse carpal ligament, debridement and complete excision of the infected synovium may be required, along with antituberculosis drugs. Knowledge of this disease in the hand can provide a better diagnosis and outcome.


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