Idiopathic tenosynovitis with rice bodies

Area of Science:

• Orthopedics
• Rheumatology
• Pathology

Background:

• Idiopathic tenosynovitis with rice bodies is a rare condition.
• Its non-association with rheumatic diseases, tuberculosis, or trauma is seldom reported.

Purpose of the Study:

• To present the largest series of patients with idiopathic tenosynovitis with rice bodies.
• To evaluate the efficacy of surgical synovectomy for this condition.

Main Methods:

• A series of five patients with flexor tendon tenosynovitis and rice bodies were studied.
• All patients underwent surgical synovectomy.
• Medical history, laboratory, and imaging investigations were performed.

Main Results:

• Synovectomy successfully removed rice bodies in all five patients.
• Histopathology confirmed rice bodies, aiding diagnosis.
• Complete recovery with no recurrence after a median 30.4-month follow-up was observed.

Conclusions:

• Synovectomy with complete rice body removal is the optimal treatment.
• Longer disease duration may correlate with more rice bodies and potential tendon rupture.
• The etiopathogenesis of idiopathic tenosynovitis with rice bodies remains undetermined.