DOI: 10.36347/sjmcr.2015.v03i03.022

Pages: 252-254

Tenosynovitis of tuberculous origin is uncommon. It is considered a severe form of extra-pulmonary musculoskeletal tuberculosis. The clinical picture is very typical and is always confirmed by histopathology and is best managed in its early stages before spreading to the underlying bones causing destruction. Here, we report a 53-year-old male who presented with painless and progressive swelling in the dorsum of foot over hallux extending over the extensor haullicus longus tendon up to ankle joint. Examination revealed mixed areas of soft cystic and hard areas, with no restriction of movements and no islands of numbness over sural nerve territory. He was diagnosed to have compound ganglion and was treated with debulking tenosynovectomy and was referred to pulmonologist for further management.