{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T16:00:44Z","timestamp":1792598444616,"version":"4.5.0"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2021,10,7]],"date-time":"2021-10-07T00:00:00Z","timestamp":1633564800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,1,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>Rice bodies are a rare finding in medicine and offer a therapeutic challenge. As their occurrence varies over multiple rheumatic as well as infectious diseases, multiple hypotheses have been made about their origin. While rice bodies are most frequently reported in the shoulder and knee joints, flexor tendon synovitis with accompanying rice bodies is rarer. We report a case of extensive flexor tenosynovitis with rice bodies in the wrist in a 90-year-old patient with seronegative rheumatoid arthritis. The patient reported a 5-month history of painful swelling of the right wrist. Ultrasound showed pronounced swelling of the synovial tissue of the flexor tendons. Laboratory test were negative for rheumatology tests with normal C-reactive protein and sedimentation rates. T2-weighted magnetic resonance imaging demonstrated an extensive synovitis reaching from the distal forearm into the hand with inclusions, better known as rice bodies. Synovectomy including carpal tunnel release was performed with dissection of the mass revealing an extensive synovitis with a multitude of rice bodies. Histopathology showed lymphohistiocytic infiltrates consistent with rheumatoid nodules. After surgery, the patient regained full function of the wrist within 2\u00a0weeks without any pain or remaining mass in the affected limb.<\/jats:p>","DOI":"10.1093\/mrcr\/rxab040","type":"journal-article","created":{"date-parts":[[2021,10,6]],"date-time":"2021-10-06T22:08:03Z","timestamp":1633558083000},"page":"150-154","source":"Crossref","is-referenced-by-count":11,"title":["Rice bodies in the wrist"],"prefix":"10.1093","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5665-8421","authenticated-orcid":false,"given":"Maurice","family":"Gillijns","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, AZ St-Dimpna Geel, Geel, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wim","family":"Vandesande","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, AZ St-Dimpna Geel, Geel, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,10,7]]},"reference":[{"key":"2022011123195597600_R1","doi-asserted-by":"crossref","first-page":"1343","DOI":"10.1002\/art.1780200707","article-title":"On the nature of rheumatoid rice bodies: an immunologic, histochemical, and electron microscope study","volume":"20","author":"Berg","year":"1977","journal-title":"Arthritis Rheum"},{"key":"2022011123195597600_R2","doi-asserted-by":"crossref","first-page":"1053","DOI":"10.1002\/art.1780080605","article-title":"A biochemical and electron microscopy study of rice bodies from rheumatoid patients","volume":"8","author":"Albrecht","year":"1965","journal-title":"Arthritis Rheum"},{"key":"2022011123195597600_R3","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1136\/ard.41.2.109","article-title":"Frequency of occurrence, mode of development, and significance of rice bodies in rheumatoid joints","volume":"41","author":"Popert","year":"1982","journal-title":"Ann Rheum Dis"},{"key":"2022011123195597600_R4","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1177\/230949900601400221","article-title":"Rice-body formation and tenosynovitis of the wrist: a case report","volume":"14","author":"Tyllianakis","year":"2006","journal-title":"J Orthop Surg (Hong Kong)"},{"key":"2022011123195597600_R5","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1016\/j.ijscr.2011.07.001","article-title":"Bilateral recurrent wrist flexor tenosynovitis and rice body formation in a patient with sero-negative rheumatoid arthritis: a case report and review of literature","volume":"2","author":"Iyengar","year":"2011","journal-title":"Int J Surg Case Rep"},{"key":"2022011123195597600_R6","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1007\/s11604-008-0270-7","article-title":"Multiple rice body formation accompanying the chronic nonspecific tenosynovitis of flexor tendons of the wrist","volume":"26","author":"Ergun","year":"2008","journal-title":"Radiat Med"},{"key":"2022011123195597600_R7","doi-asserted-by":"crossref","DOI":"10.1186\/s12891-020-03563-0","article-title":"Hundreds of rice bodies in the subacromial-subdeltoid bursa: report of two cases and literature review","volume":"21","author":"Guo","year":"2020","journal-title":"BMC Musculoskelet Disord"},{"key":"2022011123195597600_R8","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1007\/s002560000258","article-title":"Variation among giant rice bodies: report of four cases and their clinicopathological features","volume":"29","author":"Sugano","year":"2000","journal-title":"Skeletal Radiol"},{"key":"2022011123195597600_R9","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/j.hcl.2004.03.015","article-title":"Ganglion cysts and other tumor related conditions of the hand and wrist","volume":"20","author":"Nahra","year":"2004","journal-title":"Hand Clin"},{"key":"2022011123195597600_R10","volume-title":"UpToDate","author":"Taylor","year":"2020"},{"key":"2022011123195597600_R11","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1080\/03009730902931408","article-title":"Tenosynovitis with rice body formation in a non-tuberculosis patient: a case report","volume":"114","author":"Nagasawa","year":"2009","journal-title":"Ups J Med Sci"},{"key":"2022011123195597600_R12","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1007\/s40477-019-00415-z","article-title":"A bump: what to do next? 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