Risotto Palmar Bursitis: a rare complication following Triangular Fibrocartilage Complex  (TFCC) Repair.

Agarwal Arjit; Gupta Yuktika; Singh Raj Anoop

Volume : V, Issue : XII, December - 2015

Risotto Palmar Bursitis: a rare complication following Triangular Fibrocartilage Complex (TFCC) Repair.

Agarwal Arjit, Gupta Yuktika, Singh Raj Anoop

Abstract :

Rissoto Palmar Bursitis is synonymous of rice body formation complicating chronic palmar bursitis which is a rare phenomenon usually associated with infective or inflammatory arthropathies. It is regarded as a chronic inflammatory response to infective commonly Mycobacterial or inflammatory arthropathies like Rheumatoid arthritis. However, rice body formation in response to bioabsorbable suture material used in arthroscopic repair surgeries is a rare event in itself. We report a case of young female presenting with palmar swelling, pain & fever; following history of arthroscopic surgery for wrist injury. She underwent ultrasound & contrast MRI of wrist joint which revealed palmar bursitis with multiple loose bodies and synovial thickening. Previous operative details showed the use of bioabsorbable suture anchor in the repair procedure. Surgical deidement of the loose bodies was done which followed by pathological study showed inflammatory rice bodies of acidophilic centre surrounded with lymphocytic infiltrates.