Bifocal musculoskeletal tuberculosis in upper limb: Unusual case

Bassir, Rida-Allah; Saoudi, Fouad; Ismael, Farid; Lamrani, Moulay Omar; Kharmaz, Mohamed; Elbardouni, A.; Mahfoud, Mustapha; Berrada, Mohamed Saleh; Elyaacoubi, M.

doi:10.1016/j.ijmyco.2014.06.001

Cited by 2 publications

(2 citation statements)

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“…The elbow TB represents even more unusual. 18 , 19 It is the tubercular osteomyelitis and a secondary complication for pulmonary TB. 20 Under such circumstances, the bacteria usually spread through the circulatory system and attack the long bones, muscles and especially synovium because of its relatively high oxygen concentration.…”

Section: Discussionmentioning

confidence: 99%

Surgical release for tubercular elbow stiffness

Qian

Han

Wang

et al. 2017

IDR

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BackgroundFor decades, tuberculosis (TB) has posed a great threat to people worldwide. Bone and joint TB is one of the most common types of extrapulmonary TB, with elbow TB comprising a small proportion of these cases. The treatment for elbow stiffness associated with TB has been rarely reported.Patients and methodsWe retrospectively analyzed six patients (four females and two males) with tubercular elbow stiffness during a 7-year period. All of them received open arthrolysis and hinged external fixation to restore functional extension, flexion, supination and pronation. Mayo Elbow Performance Score (MEPS) and range of motion (ROM) were evaluated preoperatively and at final follow-up.ResultsAt final follow-up after surgery, we evaluated the average active ROM, which was 111.7° (90°–135°). The average extension was 11.7° (0°–30°), while the average flexion was 123.3° (115°–135°). At the same time, the average supination was increased to 70° (40°–90°) and the average pronation was increased to 68.3° (45°–80°). The MEPS was elevated to 92.5 (85–100). Three patients displayed complications and were treated and cured with dressing changes and antibiotics.ConclusionOpen arthrolysis and hinged external fixation are useful for the treatment of non-traumatic elbow stiffness with TB.

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Section: Discussionmentioning

confidence: 99%

Surgical release for tubercular elbow stiffness

Qian

Han

Wang

et al. 2017

IDR

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“…An appropriate course of anti-tuberculous treatment is curative in most cases. 85 – 87 In resistant cases immunomodulation may be needed. 85 …”

Section: Non-traumatic Disorders Of the Scjmentioning

confidence: 99%

Swellings of the sternoclavicular joint: review of traumatic and non-traumatic pathologies

et al. 2018

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The sternoclavicular joint (SCJ) is an integral part of the shoulder girdle that connects the upper limb to the axial skeleton.Swelling of the SCJ is commonly due to trauma, degeneration, infections and other disease processes that affect synovial joints.This review also focuses on uncommon conditions that could affect the SCJ, including SAPHO (synovitis, acne, pustulosis, hyperostosis, osteitis) syndrome, Friedrich’s disease and Tietze syndrome.The scope of this review is limited to the analysis of the current evidence on the various conditions affecting the SCJ and also to provide an algorithm to manage these conditions.Cite this article: EFORT Open Rev 2018;3:471-484. DOI: 10.1302/2058-5241.3.170078

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Bifocal musculoskeletal tuberculosis in upper limb: Unusual case

Cited by 2 publications

References 9 publications

Surgical release for tubercular elbow stiffness

Surgical release for tubercular elbow stiffness

Swellings of the sternoclavicular joint: review of traumatic and non-traumatic pathologies

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