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Year : 2015  |  Volume : 15  |  Issue : 3  |  Page : 288-290

Tubercular compound palmar ganglion causing carpal tunnel syndrome

Department of Orthopaedics, Government Medical College Jammu, Jammu, Jammu and Kashmir, India

Correspondence Address:
Khurshid Ahmad Bhat
Department of Orthopaedics, Government Medical College Jammu, Jammu, Jammu and Kashmir
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DOI: 10.4103/1319-6308.164318

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Compound palmar ganglion of tubercular origin with carpal tunnel syndrome is an uncommon condition. The aim of this study is to make awareness among practitioners so that the condition can be diagnosed and treated at an early stage before it spreads and destroy the surrounding structures. We present a 50-old-female with a painless swelling of the right wrist and palm of 1-year duration. Furthermore, the patient had a history of paresthesias and numbness of median nerve distribution. Local examination revealed a fluctuating, dumbbell-shaped swelling of the right wrist and palm with numbness of radial three and a half fingers. All the radiographic and laboratory tests were within the normal limits. Patient was treated with thorough debridement and decompression of carpal tunnel along with anti-tubercular therapy. Although rare, tubercular tenosynovitis with carpal tunnel syndrome must be kept in mind as a differential diagnosis of chronic tenosynovitis especially in the developing countries.

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