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CC BY-NC-ND 4.0 · Indian J Plast Surg 2017; 50(02): 130-137
DOI: 10.4103/ijps.IJPS_73_17
Review Article
Association of Plastic Surgeons of India

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

Renato Franz Matta Ramos
Plastic Surgery Department, Bliss Plastic Surgery Clinic, Lima, Peru
,
Lucas Cancian
1   Hand and Reconstructive Microsurgery Department and School of Medicine, Saint Lucas Hospital, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
,
Fernando Calcagnotto
1   Hand and Reconstructive Microsurgery Department and School of Medicine, Saint Lucas Hospital, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
,
Ricardo Zeni
1   Hand and Reconstructive Microsurgery Department and School of Medicine, Saint Lucas Hospital, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
,
Gabriel Varela
1   Hand and Reconstructive Microsurgery Department and School of Medicine, Saint Lucas Hospital, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
,
Tamsin Burgues
2   General Surgery Department, Santa Casa da Misericordia Hospital, Rio de Janeiro, Brazil.
,
Jefferson Braga Silva
1   Hand and Reconstructive Microsurgery Department and School of Medicine, Saint Lucas Hospital, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
› Author Affiliations
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Publication History

Publication Date:
09 July 2019 (online)

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ABSTRACT

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.

KEY WORDS

Hand - joint - synovial - tuberculosis
 

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