A rare localization of tuberculosis of the wrist: The scapholunate joint

Sbai, Mohamed Ali; Benzarti, Sofien; Bouzaïdi, Khaled; Sbei, Feten; Mhiri, Riadh

doi:10.1016/j.ijmyco.2015.04.001

Cited by 23 publications

(21 citation statements)

References 9 publications

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“…Sbai et al reported a case of scapholunate joint TB with tenosynovitis of the extensor tendons of the wrist 14. However the lytic osseous lesion in their patient was in the scaphoid, that spread to the scapholunate joint contiguously.…”

Section: Discussionmentioning

confidence: 96%

Tuberculosis of lunate as an isolated intraosseous osteolytic lesion in an adult: a diagnostic challenge

Kumar¹,

Aggarwal

Rajnish

et al. 2019

BMJ Case Rep

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In an endemic zone of tuberculosis (TB), osseous involvement is a relatively common presentation. Spine and long bones are the the most common nidus of TB. Smaller bones and joints are relatively less involved. Thorough clinical examination and history of typical constitutional symptoms like weight loss, fever and loss of appetite are the diagnostic aids for initiating early treatment. Wrist and hand involvement is a rare occurrence and often presents atypically without any obvious symptoms or signs. This results in delayed diagnosis and worse outcome. TB of lunate without articular involvement is a very rare subset and we present such an isolated case of TB involving the lunate, without any typical symptoms, with the patient complaining of vague pain without any restriction of joint mobility. TB was diagnosed with the aid of radiology, haematology and histopathology. 18 months of multidrug antitubercular treatment was given, to which the patient responded well.

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Section: Discussionmentioning

confidence: 96%

Tuberculosis of lunate as an isolated intraosseous osteolytic lesion in an adult: a diagnostic challenge

Kumar¹,

Aggarwal

Rajnish

et al. 2019

BMJ Case Rep

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“…When pathologies develop to the edge of the articular surface, the articular cartilage erodes and the subchondral bone is destroyed. With the destruction of the carpal bones, the spaces are lled by necrotic tissue resulting in arthritis and deformity of the affected carpal joint [12]. Chandrasekharan et al believe that tuberculosis of the wrist joint can be histologically divided into three stages.…”

Section: Discussionmentioning

confidence: 99%

Wrist Tuberculosis-experience From Eighteen Cases: A Retrospective Study

Zou

tan²,

guo

et al. 2020

Preprint

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Background Wrist tuberculosis is a rare disease, easy to cause misdiagnosis, delay treatment and lead to poor prognosis. In this study, the clinical manifestations, diagnosis, treatment and prognosis of 18 cases of wrist tuberculosis were analyzed retrospectively. Methods We conducted a retrospective study investigating tuberculosis of the wrist, diagnosed in 18 patients from August 2013 to November 2018. Puncture biopsy confirmed the diagnosis. The study includes 11 males and 7 females, and 8 left and 10 right wrists. The average age was 53.5 ± 18.3 years and ranged from 15 to 81 years. The disease course was 1 to 42 months, with an average of 15.1 ± 11.3 months. Eighteen patients were treated with surgery and chemotherapy, 3 patients with severe bone defect were treated with wrist fusion, and 15 patients were treated with focus removal. The Gartland and Werley score, DASH score, the range of motion (ROM), grip strength, and imaging examinations were used to evaluate the postoperative recovery of the patients. Results Eighteen patients were followed up for 15 to 77 months, with an average follow up of 39.7 ± 15.3 months. The ESR and CRP levels were normal for all patients after chemotherapy. No recurrence of tuberculosis was observed in any of the patients. Among the 15 focus removal, the Gartland and Werley scores at admission, two weeks of chemotherapy, 1 month after surgery, and the last follow-up were 21.73 ± 4.33, 18.60 ± 3.16,11.27 ± 2.79, and 5.07 ± 2.28, respectively; and DASH scores were 45.87 ± 5.58, 39.47 ± 4.72,22.67 ± 6.54, and 6.73 ± 2.94, respectively. The wrist range of motion (ROM) and grip strength improved significantly compared to those at admission. Among the three cases of wrist fusion, 2 were fixed with a steel plate and the fixation position of wrist joint was good. One case was fixed with Kirschner wire and resulted in a slightly deformed wrist joint. Conclusion For the patients with wrist tuberculosis, early diagnosis, preoperative and postoperative chemotherapy, thorough focus removal, and appropriate fixation of the affected limb can help restore the function of the affected wrist, reduce the recurrence rate, and improve the quality of life.

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“…In 2014, Prakash [4] reported isolated involvement of the capitate. In 2015, Sbai et al [5] and Goel et al [6] reported isolated scapholunate and hamate involvement.…”

Section: Discussionmentioning

confidence: 99%

“…Common sites of primary osseous focus are the os capitatum or distal end of the radius [2]. Very few cases have been reported of isolated involvement of a single bone or joint in the wrist or hand [3][4][5][6][7][8]. Isolated involvement of the hamate, in particular, is even rarer.…”

Section: Introductionmentioning

confidence: 99%

Tuberculosis of the Hand with Isolated Hamate Involvement: An Unusual Presentation

Kishan¹,

Kashyap²,

Kadur³

et al. 2019

Case Rep Orthop Res

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Osteoarticular tuberculosis accounts for 1-5% of all tuberculosis cases, rarely involving the wrist or hand. Wrist and hand tuberculosis usually presents with multiple carpal bone involvement with impaired wrist and hand function. Isolated involvement of the carpal bone, particularly the hamate, is very rare. We report a 12-year-old female child with isolated hamate bone involvement without any limitation of wrist function. The patient was managed conservatively on antitubercular drugs. Such a case has not been reported in the past.

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A rare localization of tuberculosis of the wrist: The scapholunate joint

Cited by 23 publications

References 9 publications

Tuberculosis of lunate as an isolated intraosseous osteolytic lesion in an adult: a diagnostic challenge

Tuberculosis of lunate as an isolated intraosseous osteolytic lesion in an adult: a diagnostic challenge

Wrist Tuberculosis-experience From Eighteen Cases: A Retrospective Study

Tuberculosis of the Hand with Isolated Hamate Involvement: An Unusual Presentation

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