Tuberculous Tenosynovitis of the hand usually presents late because of its non-specific nature that starts insidiously and becomes indolent. Although most of the tuberculous tenosynovitis reported has been the primary focus of the disease, tuberculous tenosynovitis of the hand can be the presenting feature of multiple foci skeletal tuberculosis. In this case series we report three cases of tuberculous tenosynovitis with three different presentations; the definitive diagnosis being made by biopsy and tissue culture. Combined early surgical intervention and chemotherapy was the definitive treatment although the courses of treatment and outcomes differed.
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