<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2306-4102</journal-id>
<journal-title><![CDATA[Acta ortopédica mexicana]]></journal-title>
<abbrev-journal-title><![CDATA[Acta ortop. mex]]></abbrev-journal-title>
<issn>2306-4102</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Ortopedia y Traumatología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2306-41022025000400236</article-id>
<article-id pub-id-type="doi">10.35366/120456</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Tuberculosis tenosynovitis in the wrist: a case report]]></article-title>
<article-title xml:lang="es"><![CDATA[Tenosinovitis tuberculosa en la muñeca: presentación de un caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Penagos]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reyes]]></surname>
<given-names><![CDATA[R De Los]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cortés-Molano]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sarzosa-Varona]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivera-Molano]]></surname>
<given-names><![CDATA[CE]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cortés-Molano]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Urueña-Barrios]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Portoazul Auna Clinic-Barranquilla  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Libre Barranquilla  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Manizales  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Institución Universitaria Visión de las Américas  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad de Manizales  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2025</year>
</pub-date>
<volume>39</volume>
<numero>4</numero>
<fpage>236</fpage>
<lpage>241</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2306-41022025000400236&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2306-41022025000400236&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2306-41022025000400236&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Articular tuberculosis is a rare condition, with extrapulmonary presentations most commonly appearing in joints such as the hip or knee. It is usually associated with conditions like immunosuppression or a history of pulmonary tuberculosis. Diagnosis involves imaging or pathology, and treatment typically involves surgical intervention along with medication. Here is the case of a 25-year-old male from Barranquilla, Colombia. He lacks classical risk factors for pulmonary tuberculosis but has a history of open reduction of a traumatic fracture in his right distal radius four years ago. He presented with persistent pain, joint swelling, and limited movement, leading to removal of the osteosynthesis material. Despite this, the pain persisted, prompting further investigation with X-ray and MRI of the wrist. These imaging studies revealed findings compatible with tuberculosis. Based on these results, the medical team opted for a surgical procedure. An oncological resection of the synovium was performed, and the material that was removed was used for histological studies to confirm suspicions of extrapulmonary tuberculosis. Following these procedures, the patient underwent physical therapy and began tuberculosis medication, resulting in significant improvement of his symptoms.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La tuberculosis articular es una condición poco frecuente, incluso entre las formas extrapulmonares, y ocurre especialmente en articulaciones como cadera y rodilla. Suele estar asociada a condiciones como inmunosupresión o antecedente de tuberculosis pulmonar. El diagnóstico se realiza tanto por imagenología como por patología, y el tratamiento generalmente implica intervención quirúrgica adicional al manejo farmacológico. Este es el caso de un hombre de 25 años, procedente de Barranquilla (Colombia), sin factores de riesgo clásicos para tuberculosis extrapulmonar, pero con antecedente de cuatro años atrás de reducción abierta de fractura traumática en radio distal derecho. Consulta por persistencia del dolor y la limitación funcional, motivo por el cual se retira el material de osteosíntesis. Dada la persistencia del dolor se decidió realizar estudios complementarios, dentro de los cuales se realizaron radiografía y resonancia nuclear magnética (RNM) de muñeca, en las cuales se tuvieron hallazgos sugestivos y confirmatorios de tuberculosis articular de muñeca, respectivamente. Como conducta quirúrgica, se realizó sinovectomía con toma de muestra de patología, que posteriormente confirmó el diagnóstico. Posterior al tratamiento quirúrgico, y en conjunto con manejo farmacológico para este tipo de tuberculosis y terapia física, el paciente refiere mejoría del cuadro clínico.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[tuberculosis]]></kwd>
<kwd lng="en"><![CDATA[extrapulmonary tuberculosis]]></kwd>
<kwd lng="en"><![CDATA[osteoarticular tenosynovitis]]></kwd>
<kwd lng="en"><![CDATA[wrist]]></kwd>
<kwd lng="es"><![CDATA[tuberculosis]]></kwd>
<kwd lng="es"><![CDATA[tuberculosis extrapulmonar]]></kwd>
<kwd lng="es"><![CDATA[tenosinovitis osteoarticular]]></kwd>
<kwd lng="es"><![CDATA[muñeca]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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