Talukder S, Bandyopadhay A, Biswas S, Chakraborty S, Chakrabarti S. Imaging of Compound Palmar Ganglion with Pathologic Correlation. S Afr J Rad. Abstract: Compound palmar ganglion or tuberculous tenosynovitis of flexor tendons of wrist and hand is a rare disease. The incidence of extra-pulmonary. Compound palmar ganglion of tubercular origin with carpal tunnel syndrome is an uncommon condition. The aim of this study is to make.

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Early post operative mobilization helps to regain a powerful hand grip and also prevents stiffness and adhesions. The condition is best managed in its early stages before it spreads to the underlying bones causing destruction. Clinical picture showing compound palmar ganglion. Movements of wrist and fingers were limited along with loss of power in the fingers. In that situation, a debulking tenosynovectomy and chemotherapy is a must for a better prognosis.

Multiple rice body formation accompanying the chronic nonspecific tenosynovitis of flexor tendons of the wrist. Though tuberculosis affects various organ systems in the body, involvement of hand and wrist is quite ganhlion.

Clinical photo Click here to view.

Biceps tenosynovial rice bodies. He was diagnosed to have chronic flexor tenosynovitis of left wrist and was treated with debulking tenosynovectomy along with anti tubercular therapy. Excision and biopsy was planned and carried out without delay.

Compound palmar ganglion of tubercular origin with carpal tunnel syndrome is an uncommon condition. It can improve the patient functionally by preventing a subsequent arthrodesis which is a major concern for both the surgeon and the patient.


Intraoperative photo Click here cmpound view. Compound palmar ganglion, neuropathy, tubercular tenosynovitis. Rice bodies, millet Seeds, and melon seeds in tuberculous tenosynovitis of the hand and wrist. Atypical extraspinal musculoskeletal tuberculosis in immunocompetent patients: The condition was associated with pain which was worse at night, disturbing sleep.

Clin Orthop Relat Res ; How to cite this URL: A year-old male butcher, presented with complaints of an increasing swelling over the volar aspect of his left hand and wrist. Compound palmar ganglion with carpal tunnel syndrome. Ann plast surg ; Ann Plast Surg ; Encapsulated swelling extending from wrist to palm Click here to view. Tuberculous tenosynovitis of the hand. Palma were no contractures and the scar remained healthy. J Coll Physicians Surg Pak ;17 4: According to WHO guidelines, patient was started with two months of isoniazid Hrifampicin Rpyrazinamide Zethambutol E in the intensive phase followed by 4 months continuation phase of HR thrice a week.

Subsequent review of the patient showed a complete recovery of numbness and regaining of power in the operated hand.

Compound palmar ganglion with carpal tunnel syndrome.

Evening rise of temperature was more marked for the past one month. With lack of pulmonary symptoms, diagnosing this condition is quite difficult.

Pamlar below to enlarge Figure 2: We present a old-female with a painless swelling of the right wrist and palm of 1-year duration. Carpal tunnel syndrome, compound palmar ganglion, tubercular tenosynovitis. Local examination revealed a fluctuating, dumbbell-shaped swelling of the right wrist and palm with numbness of radial three and a half fingers.


Mycobacterium tuberculosis is the most common causative organism for such an extensive lesion over the wrist and hand and is always confirmed by culture. A new look at an old disease. J Pediatr Orthop B ; Tuberculosis is still widely present in many developing countries, especially more so in immunocompromised individuals.

The corresponding author is the guarantor gangllon submission. Tuberculosis of the wrist. J Med Case Rep ;3: Compound palmar ganglion, Chronic flexor tenosynovitis, Melon seed bodies Introduction Chronic flexor tenosynovitis of the wrist, commonly of tuberculous origin is also called compound palmar ganglion.

Compound palmar ganglion with carpal tunnel syndrome.

Careful dissection and release of the flexor retinaculum revealed a single continuous fluctuant mass which was filled with fibrinous material and straw colored fluid figure 2. Rice bodies, millet seeds, and melon seeds in tuberculous tenosynovitis of the hand and wrist. The disease can progress and result in a gross destruction ganglionn structures around the wrist and hence requires excision without delay.

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