Tuberculous Tenosynovitis of Wrist Presenting as Ganglion Cyst: A Rare Occurrence

Tuberculosis is the common infection in the endemic regions. It primarily infects lungs and extrapulmonary involvement is rare. Common sites of extrapulmonary disease include lymphnodes, intestine, genitourinary system, bone marrow, central nervous system and musculoskeletal system. The most common affected sites in musculoskeletal system are the spine, hip and knee. Hand involvement by tuberculosis is rare event. We reported such a rare case of tuberculosis of the wrist in a 55 yr old female, who presented with complaints of swelling in the wrist. Routine investigations were normal except for mild elevation of ESR. Excision was done and specimen sent for histopathological examination. On examination, final diagnosis was given as tuberculous tenosynovitis. Patient was offered further treatment with anti tuberculosis drugs and kept on follow up. Hence, tuberculosis of wrist should be kept as differential diagnosis in lesions around wrist as early diagnosis and treatment prevent further destruction and has good prognosis.