Idiopathic tenosynovitis of the wrist with multiple rice bodies: A case report and review of literature

Figure 1 Ultrasound-guided shows a cystic mass across palm and wrist, filled with scattered hypoechoic nodules. A: Palm; B: Wrist.

Figure 2 The mass was filled with rice-sized particles. A and B: T1 (A) weighted and other signal, T2 (B) weighted low signal, scattered in nodules.

Figure 3 The loose body of rice grain size (rice body) is seen during the operation. A: Rice bodies in the flexor tendon sheath; B: Bursa and rice body of the resected lesion; C: Wound recovery one week after surgery.

Figure 4 Management algorithm of synovitis with rice bodies in the wrist. MRI: Magnetic resonance imaging; ESR: Erythrocyte sedimentation rate; CRP: C-reactive protein; RF: Rheumatoid factors; Anti-CCP: Anti-cyclic citrullinated peptide; ANA: Antinuclear antibody; PPD: Purified protein derivative; T-spot: T cell spot test; PCR: Polymerase chain reaction; NTM: Non-tuberculous mycobacteria; TB: Tuberculous.