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伸肌腱腱鞘炎并发性伸肌腱断裂,提示手结核。

An extensor tenosynovitis complicated with extensor tendon rupture revealing a hand tuberculosis.

机构信息

Department of Aesthetic and Burns, M.T. Maamouri Hospital, Nabeul, Tunisia.

Department of Orthopaedics and Traumatology, M.T. Maamouri Hospital, Nabeul, Tunisia.

出版信息

Int J Mycobacteriol. 2023 Apr-Jun;12(2):200-203. doi: 10.4103/ijmy.ijmy_82_23.

Abstract

Tuberculous hand tenosynovitis is a rare localization of tuberculosis. It is dominated by flexor tendon involvement; tenosynovitis of the extensor tendons is exceptional. The diagnosis is usually delayed and sometimes overlooked because of the paucity and the chronicity of the symptoms and signs with the patients often seen at the stage of tendon rupture. We, hereby, report the case of a tuberculous tenosynovitis of the extensors of the left hand having evolved into a ruptured extensor tendons to the 4 and 5 digits. The surgical treatment in conjunction with the antituberculous drugs resulted in the healing of this condition.

摘要

结核性手肌腱滑膜炎是一种罕见的结核部位。它主要累及屈肌腱;伸肌腱的滑膜炎则较为罕见。由于症状和体征稀少且呈慢性,加之患者常处于肌腱断裂阶段,因此诊断通常会被延迟,甚至有时会被忽视。我们在此报告一例左手伸肌腱结核性滑膜炎,该疾病进展为第 4 和第 5 指的伸肌腱断裂。手术治疗联合抗结核药物治疗使这种情况得以痊愈。

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