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MEDIAN NERVE COMPRESSION DUE TO TUBERCULOUS TENOSYNOVITIS AT THE WRIST – A RARE CASE REPORT
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Abstract
Introduction: Tuberculous flexor tenosynovitis of the wrist is a rare manifestation of musculoskeletal tuberculosis. Its nonspecific symptoms can mimic primary carpal tunnel syndrome, leading to delayed diagnosis and potential complications. Case report: A 33-year-old male presented with a 10-month history of left wrist pain and hand numbness. He was initially misdiagnosed with primary carpal tunnel syndrome and showed no improvement after surgery. MRI suggested chronic tenosynovitis causing median nerve compression. Surgical decompression was performed, and histopathology confirmed Mycobacterium tuberculosis infection. The patient was treated with anti-tuberculous therapy and fully recovered. Discussion: Tuberculous tenosynovitis often presents insidiously. MRI and histopathology are valuable for diagnosis. In patients with persistent median nerve compression symptoms unresponsive to conventional treatment, this condition should be considered, especially in endemic areas. Surgical debridement combined with medical therapy is essential in advanced stages. Conclusion: Wrist tuberculous tenosynovitis should be considered in chronic carpal tunnel-like cases. Early and accurate diagnosis with appropriate treatment is crucial for functional recovery and recurrence prevention.
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Keywords
Tuberculous flexor tenosynovitis, Secondary carpal tunnel syndrome, Median nerve compression
References
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