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[Treatment algorithm in synovial tuberculosis of the hand and wrist: a report of three cases]
Ismail Bülent Ozçelik1, Atakan Aydin, Ilker Sezer
1IST-EL Istanbul Hand Surgery, Microsurgery, and Rehabilitation Group, (IST-EL El Cerrahisi, Mikrocerrahi ve Rehabilitasyon Grubu), Istanbul, Turkey. bulent-ozcelik@hotmail.com
Abstract:
Three patients with synovial tuberculosis are presented. Involvement was in the hand in one patient, and in the wrist in two patients. None of the patients had pulmonary tuberculosis or a family history of tuberculosis. Tuberculosis treatment was initiated only after histologic verification. The cultures remained negative. The patients received a 12-month course of multidrug chemotherapy for tuberculosis, resulting in symptomatic improvement and healing. There were no recurrences during a follow-up period of 16 to 26 months. Our clinical observations showed that tuberculosis tenosynovitis benefited well from antituberculosis chemotherapy.
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