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手部滑膜结核：一种罕见部位的古老疾病。

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

作者信息

Matta Ramos Renato Franz, Cancian Lucas, Calcagnotto Fernando, Zeni Ricardo, Varela Gabriel, Burgues Tamsin, Silva Jefferson Braga

机构信息

Plastic Surgery Department, Bliss Plastic Surgery Clinic, Lima, Peru.

Hand and Reconstructive Microsurgery Department and School of Medicine, Saint Lucas Hospital, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil.

出版信息

Indian J Plast Surg. 2017 May-Aug;50(2):130-137. doi: 10.4103/ijps.IJPS_73_17.

DOI:10.4103/ijps.IJPS_73_17
PMID:29343887
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5770925/
Abstract

BACKGROUND

Tuberculosis is the most prevalent infectious disease in the world. It is mainly caused by . 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.

摘要

背景

结核病是世界上最普遍的传染病。它主要由……引起。骨关节结核占1%-3%。腱鞘炎是手部该疾病最常见的形式。

目的

本研究的目的是介绍滑膜结核的最新情况。

材料与方法

作者进行了文献综述、临床和手术管理以及病例报告。

结果

结果令人满意，未报告并发症。

结论

可能需要早期诊断，横行腕横韧带手术切断，清创以及彻底切除感染的滑膜，同时使用抗结核药物。对手部这种疾病的了解可以提供更好的诊断和结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/bd8a7361ea9f/IJPS-50-130-g015.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/851216f16697/IJPS-50-130-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/d5b816bb0194/IJPS-50-130-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/a638e7f56ca3/IJPS-50-130-g003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/7ecf5de7842f/IJPS-50-130-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/68f5bf450a62/IJPS-50-130-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/37a1b1d5fa27/IJPS-50-130-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/dff80fa6aba0/IJPS-50-130-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/054bc7517dd1/IJPS-50-130-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/2950c238a426/IJPS-50-130-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/81d0c0a0f926/IJPS-50-130-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/90f629b32536/IJPS-50-130-g014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/bd8a7361ea9f/IJPS-50-130-g015.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/851216f16697/IJPS-50-130-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/d5b816bb0194/IJPS-50-130-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/a638e7f56ca3/IJPS-50-130-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/d4c477840ff9/IJPS-50-130-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/949c4f385753/IJPS-50-130-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/260af303192e/IJPS-50-130-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/7ecf5de7842f/IJPS-50-130-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/68f5bf450a62/IJPS-50-130-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/37a1b1d5fa27/IJPS-50-130-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/dff80fa6aba0/IJPS-50-130-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/054bc7517dd1/IJPS-50-130-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/2950c238a426/IJPS-50-130-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/81d0c0a0f926/IJPS-50-130-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/90f629b32536/IJPS-50-130-g014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e4/5770925/bd8a7361ea9f/IJPS-50-130-g015.jpg

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A Case Report of Tuberculosis in the Finger.手指结核病例报告
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Isolated Tuberculosis of the Wrist: Subtle but Destructive.孤立性腕关节结核：隐匿却具破坏性。

本文引用的文献

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Index-TB guidelines: Guidelines on extrapulmonary tuberculosis for India.索引-TB 指南：印度肺外结核指南。
Indian J Med Res. 2017 Apr;145(4):448-463. doi: 10.4103/ijmr.IJMR_1950_16.
2
Isolated tuberculosis of scapula in a young adult.一名年轻成年人的孤立性肩胛结核。
Int J Mycobacteriol. 2013 Jun;2(2):114-7. doi: 10.1016/j.ijmyco.2013.03.004. Epub 2013 Apr 29.
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Osteoarticular tuberculosis-a three years' retrospective study.骨关节结核——一项三年回顾性研究
Cureus. 2020 May 3;12(5):e7939. doi: 10.7759/cureus.7939.
J Clin Diagn Res. 2013 Oct;7(10):2189-92. doi: 10.7860/JCDR/2013/6859.3467. Epub 2013 Oct 5.
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Shoulder joint tuberculosis.肩关节结核
Pol J Radiol. 2012 Oct;77(4):55-9. doi: 10.12659/pjr.883630.
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Rice body formation without rheumatic disease or tuberculosis infection: a case report and literature review.无风湿性疾病或结核感染的类风湿结节形成：病例报告及文献复习。
Clin Rheumatol. 2012 Dec;31(12):1753-6. doi: 10.1007/s10067-012-2063-8. Epub 2012 Sep 2.
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Bone and joint tuberculosis.骨与关节结核。
Eur Spine J. 2013 Jun;22 Suppl 4(Suppl 4):556-66. doi: 10.1007/s00586-012-2331-y. Epub 2012 Jun 19.
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Osteoarticular tuberculosis mimicking rheumatoid arthritis.骨关节炎结核模仿类风湿关节炎。
Mod Rheumatol. 2012 Nov;22(6):931-3. doi: 10.1007/s10165-012-0605-1. Epub 2012 Mar 8.
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Multifocal bone tuberculosis: a case report.多发性骨结核：一例报告。
Foot Ankle Surg. 2011 Dec;17(4):e47-50. doi: 10.1016/j.fas.2011.05.002. Epub 2011 Jun 24.
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Tuberculosis of the hand.手部结核
J Hand Surg Am. 2011 Aug;36(8):1413-21; quiz 1422. doi: 10.1016/j.jhsa.2011.05.036. Epub 2011 Jul 18.
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Tuberculosis of and around the ankle.踝关节及其周围的结核病
J Foot Ankle Surg. 2011 Jul-Aug;50(4):466-72. doi: 10.1053/j.jfas.2011.04.002. Epub 2011 May 25.