TUBERCULOUS TENOSYNOVITIS OF THE WRIST: A RARE CASE REPORT

Tuberculosis remains a major public health problem, especially in developing countries. Musculoskeletal tuberculosis accounts for a small proportion of extrapulmonary tuberculosis, while tuberculous tenosynovitis is considered an uncommon manifestation. The wrist and hand flexor tendons are the most frequently affected sites. Because of its insidious onset and non-specific presentation, diagnosis is often delayed. Patients usually present with chronic swelling of the wrist associated with pain or progressive limitation of motion. Magnetic resonance imaging (MRI) is useful for evaluating tendon sheath involvement and soft tissue extension, but histopathological examination remains the gold standard for diagnosis. Anti - tuberculous chemother apy is the cornerstone of treatment, whereas surgery may be necessary for biopsy, synovectomy, drainage, or decompression. We report the case of a 32-year-old Moroccan woman presenting with tuberculous tenosynovitis of the wrist treated successfully with combined medical and surgical management.