Mycobacterium tuberculosis-induced carpal tunnel syndrome: management and follow-up evaluation

The Journal of Hand Surgery
Seyed-Esmail Hassanpour, Jamal Gousheh

Abstract

To determine the clinical characteristics of 12 patients with Mycobacterium tuberculosis-induced carpal tunnel syndrome. This article also presents our intraoperative findings and surgical treatment results. Twelve patients with tuberculosis-induced carpal tunnel syndrome who had surgery during a 10-year period that began in March 1991 were reviewed. The entrance criterion was a positive histologic report of tuberculosis for surgical specimens. The preoperative evaluation leading to diagnosis was reviewed for all patients. Transection of the transverse carpal ligament and complete synovectomy were performed for all patients. After surgery the patients were given an antituberculosis regimen for 1 year and were followed up for an average of 6 years. Twelve cases from a total of 1,180 patients with carpal tunnel syndrome were traced to M tuberculosis involvement of synovial tissue of the flexor tendons. Ten patients had large rice bodies in thick synovial membranes, and in the other 2 patients thick synovial tissue with yellow exudates were observed during surgery. In contrast to tendon involvement with rupture, no direct median nerve involvement was noted. Histopathologic study results of surgical specimens were positive for tube...Continue Reading

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Citations

May 31, 2012·Archives of Orthopaedic and Trauma Surgery·Florian A ProbstJan-Thorsten Schantz
Jul 31, 2012·Emerging Infectious Diseases·Felipe von GlehnMarcelo C Ramos
Mar 7, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·G Martínez-VillénE Mayayo
Jul 19, 2011·The Journal of Hand Surgery·M M Al-QattanM Al-Omawi
Aug 1, 2015·Revista Brasileira De Ortopedia·Michel ChammasJefferson Braga Silva
Sep 30, 2015·Annals of Plastic Surgery·Fatih Kabakaşİsmail Bülent Özçelik
Aug 10, 2011·The Journal of Hand Surgery, European Volume·C-H ChenC-Y Chen
Jan 19, 2018·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Renato Franz Matta RamosJefferson Braga Silva
Nov 28, 2019·Case Reports in Surgery·Oshan BasnayakeHarsha Mendis
Jun 2, 2021·JBJS Case Connector·Luís Lopes-CoutinhoAlexandre Pereira

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