RESUMEN
Introduction: India being an endemic region for Tuberculosis (TB) has a high incidence of musculoskeletal TB with various presentations. Tenosynovitis is a rare presentation and few cases have been reported involving the hand and wrist but isolated involvement of extensor tendons at the ankle is even rarer and unreported. Case Report: Thirty-five-year-old female patient presenting with a dumbbell-shaped swelling over the anterolateral aspect of right ankle with mild dull aching pain. MRI revealed altered signal intensities surrounding the extensor tendons at the ankle without the involvement of the joint. Surgical debridement was done and six-month ATT was given. Gross specimen revealed rice bodies and histopathological examination showed caseous necrosis and epitheloid cell granulomas. Conclusion: Tuberculosis TB being endemic can have varied presentations, early diagnosis can be made if clinical suspicion for TB is considered. ATT is the mainstay of treatment, but surgical debridement is necessary for extensive lesions with compressive symptoms.
RESUMEN
Fibroma of tendon sheaths (FTS) is an uncommon soft tissue tumour which arises from the synovial sheath of tendons. We report a histologically proven case with intrarticular 'fibroma of tendon sheath' originating from the joint capsule of the knee, an even rarer entity, in a middle-aged female presenting with knee pain, swelling with limited range of motion. MRI and arthroscopy studies revealed an intra-articular mass originating from the synovial membrane with lobulated contours. Open excision was performed because of the large size of the mass, making it inaccessible arthroscopically. The patient is symptom free since the surgery done 15 months back.
