Diagnostic and Interventional Radiology
Musculoskeletal Imaging - Case Report

Atypical mycobacterial tenosynovitis and bursitis of the wrist

1.

Departments of Radiology, Gülhane Military Medical Academy, Ankara, Turkey

2.

Departments of Plastic and Reconstructive Surgery, Gülhane Military Medical Academy, Ankara, Turkey

3.

Department of Radiology, Gülhane Military Medical Academy, Ankara, Turkey

4.

From the Department of Radiology (M.K. *), Gülhane Military Medical Academy, Ankara, Turkey.

Diagn Interv Radiol 2009; 15: 266-268
DOI: 10.4261/1305-3825.DIR.1506-07.1
Read: 744 Downloads: 502 Published: 03 September 2019

Abstract

Atypical mycobacterial tenosynovitis of the wrist can easily be misdiagnosed as synovial chondromatosis. Both sonography and magnetic resonance imaging plays an important role in depicting “rice bodies” within the distended tendon sheaths and bursae of atypical mycobacterial infection. An endemic place for Mycobacterium species and the occupation of the patient should raise the suspicion for the disease. Polymerase chain reaction of the distended tendon fluid is a sensitive, specific and rapid method in identification of the mycobacteria.

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EISSN 1305-3612