Tenosynovitis of Extensor Carpi Ulnaris with Formation of Rice Bodies

Main Article Content

K Arun Kuma, MS
RM Kannan, DNB
C Karthikeyan, MS
A Suchinder, MS
K Vijayaraj, MS

Abstract

Formation of rice bodies in joints commonly occur in tuberculosis, rheumatic diseases and osteoarthritis. Sometimes rice bodies are found in synovial structures like tendon sheaths and periarticular bursa. Its occurrence always denotes the chronic state of the underlying disease. There are several hypotheses put forth to facilitate its etiology but there is no proof regarding its origin.1,2 Here we report a case where there was formation of rice bodies in the tenosynovium of extensor carpi ulnaris which healed completely after thorough surgical debridement.

Article Details

How to Cite
1.
Kuma KA, Kannan R, Karthikeyan C, Suchinder A, Vijayaraj K. Tenosynovitis of Extensor Carpi Ulnaris with Formation of Rice Bodies. BKK Med J [Internet]. 2014 Feb. 20 [cited 2024 Dec. 27];7(1):71. Available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/219618
Section
Case Report

References

1. Popert AJ, Scott DL, Wainwright AC, et al. Frequency of occurrence, mode of development and significance of rice bodies in rheumatoid joints. Ann Rheum Dis 1982;41:109-17.
2. Popert J. Rice bodies, synovial debris and joint lavage.Br J Rheumatol 1985;24:1-2.
3. Gálvez J, Sola J, Ortuño G, et al. Microscopic rice bodies in rheumatoid synovial fluid sediments. J Rheumatol 1992;19:1851-8.
4. Tyllianakis M, Kasimatis G, Athanaselis S, et al. Rice- body formation and tenosynovitis of the wrist: a case report. J Orthop Surg 2006;14:208-11.
5. Bulut M, Yilmaz E, Karakurt L, et al. Rice body formation characterized by the chronic non-specific tenosynovitis in the tibialis anterior tendon. Acta Orthop Traumatol Turc 2013;47:142-5.
6. Dixon JH. Non-tuberculous mycobacterial infection of the tendon sheaths in the hand. A report of six cases. J bone Joint Surg Br 1981;63:542-4.
7. Nagasawa H,Okada K, Senma S, et al. Tenosynovitis with rice body formation in a non-tuberculosis patient: a case report. Ups J Med Sci 2009;114:184-8.
8. Gargi S, Al-Jabri T, Mutnal S, et al. A giant ganglion cyst of the semimembranosus tendon: a case report. Cases J 2009;2:8305.
9. Li-Yu J, Clayburne GM, Sieck MS, et al. Calcium apatite crystals in synovial fluid rice bodies. Ann Rheum Dis 2002;61:387-90.
10. Potter TA, Kuhns JG. Rheumatoid, tenosynovitis; diagnosis and treatment. J Bone Joint Surg Am 1958;40:1230-5.
11. Jacobs JH, Hess EV, Beswick IP. Rheumatoid arthritis presenting as tenosynovitis. J Bone Joint Surg Br 1957; 39:288-92.