Regnard P J, Barry P, Isselin J
SOS Mains Dijon, Bourgogne, France.
J Hand Surg Br. 1996 Jun;21(3):351-4. doi: 10.1016/s0266-7681(05)80201-3.
We present five cases of mycobacterial tenosynovitis of the flexor tendons of the fingers. These cases were observed during the last 12 years and treated by the same surgeon. This pathology is uncommon now, but it is becoming more frequent, especially in patients with diminished immunity. The diagnosis was most commonly made after synovectomy in patients presenting with carpal tunnel syndrome associated with slightly painful swelling at the wrist. Histological and bacteriological examinations are very important and revealed tuberculosis in four of our patients and mycobacterium in one, and the treatment consists of synovectomy and appropriate antibiotics. The functional result is usually good, but recurrence is not uncommon. Long-term follow-up is necessary. Local corticosteroid therapy could have a part in the causation of this condition.
我们报告了5例手指屈肌腱的分枝杆菌腱鞘炎病例。这些病例是在过去12年中观察到的，均由同一位外科医生治疗。这种病理情况现在并不常见，但正变得越来越频繁，尤其是在免疫力下降的患者中。诊断最常见于因腕管综合征伴腕部轻度疼痛性肿胀而接受滑膜切除术的患者。组织学和细菌学检查非常重要，我们的患者中有4例显示为结核，1例为分枝杆菌，治疗包括滑膜切除术和适当的抗生素。功能结果通常良好，但复发并不少见。需要长期随访。局部皮质类固醇治疗可能在这种疾病的病因中起一定作用。
