Presentation
Wrist swelling and pain
Patient Data
Age: 60 years
Gender: Male
From the case:
Severe wrist tenosynovitis (MRI)
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Tenosynovitis affects multiple extensor compartments, worse in the 2nd and 3rd. Associated severe tendinosis of the extensor carpi radialis brevis and extensor pollicis longis tendons. Mild thickening of the dorsal carpus synovium. Small DRUJ effusion and central perforation of the TFC disc proper.
Case Discussion
This severity and the degree of widespread tenosynovitis raises the likelihood of an inflammatory arthritis, such as rheumatoid arthritis.