Atypical mycobacterial tenosynovitis and bursitis of the wrist
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Musculoskeletal Imaging - Case Report

Atypical mycobacterial tenosynovitis and bursitis of the wrist

Diagn Interv Radiol 2009;15(4):266-268 DOI: 10.4261/1305-3825.DIR.1506-07.1
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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.

Keywords: atypical mycobacterium infections, tenosynovitis, wrist, magnetic resonance imaging, polymerase chain reaction