Tuberculous tenosynovitis: a rare manifestation of a common disease

Two cases of tuberculous tenosynovitis of the hand are presented. The clinical features were those of a gradually enlarging swelling and mild pain over several months. Diagnosis was not initially suspected in either patient, reflecting decreased awareness of this uncommon condition. Both patients had concomitant active pulmonary tuberculosis which was quiescent in the second patient. Combined surgical debridement and antituberculous drugs led to a successful outcome. The condition is discussed and pertinent literature is reviewed.