ty -jour a2 -Saber，A。A. A2 -Spinelli，A。Au -au -chavan，Shahaji au -Sable，Shyamsunder shambhu au -tekade，sachin au -punia- punia，prashant py -2012 da -2012 da -2012/2012/20/24 ti -tiosynoviity -tuosberculy tenosynovity呈现由于手腕的神经节-143921 VL -2012 AB-结核病（TB）在许多发达国家仍然是地方性的。手和腕部在演讲中的参与极为罕见，并且经常错过诊断。一名57岁的男性自3年以来，左手腕上的左手腕肿胀出现，左手腕柔软的背侧肿胀与一致性不可压缩的移动性与手腕关节的平面成直角。ESR：1小时内45毫米，休息血液检查正常。紫外线扫描显示伸肌鞘的巨细胞肿瘤。X射线：软组织肿胀和MRI提示伸肌肌腱外骨外部滑膜滑外科赫或肌腱鞘的巨细胞肿瘤。计划切除肿胀，并在术中，内部看到稻米体。组织病理学检查显示肉芽肿形成案例坏死。患者接受了DOT1治疗。 Tuberculous tenosynovitis was first described by Acrel in 1777. Rice bodies occurring in joints affected by tuberculosis were first described in 1895 by Reise. Rice bodies will be diagnosed on plain radiographs when mineralization occurs. More than 50% of cases recur within 1 year of treatment. The currently recommended 6-month course is often adequate with extensive curettage lavage and synovectomy should be performed. Surgery is essential, but the extent of surgical debridement is still debatable. The surgeon has to be aware of the significance of loose bodies when performing routine excision of innocuous looking wrist ganglia. SN - 2090-6900 UR - https://doi.org/10.1155/2012/143921 DO - 10.1155/2012/143921 JF - Case Reports in Surgery PB - Hindawi Publishing Corporation KW - ER -