Isolated Tuberculosis of the Wrist: Subtle but Destructive

Manas, Ammar; Bajuri, Mohd Yazid; Nawawi, Rashdeen Fazwi Muhammad

doi:10.7759/cureus.7939

Cited by 2 publications

(1 citation statement)

References 10 publications

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“…5 Some of the lesions could be misdiagnosed as chronic osteomyelitis since there might be osseous damages. 6 In addition, its diagnosis is still a challenge due to lacking typical clinical manifestation and low sensitivity of the techniques for the testing of tubercle bacillus. 7 The diagnosis of extra-pulmonary tuberculosis is mainly based on the pathogen examination.…”

Section: Discussionmentioning

confidence: 99%

Synovial tuberculosis in wrist diagnosed based on metagenomic next-generation sequencing: A case report

Lan

Lin

et al. 2022

Eur J Inflamm

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Synovial tuberculosis in the wrist is a rare disease that is usually misdiagnosed at the early stage. In this case, we presented a 67-year-old male with wrist joint tuberculosis who presented repeated left wrist joint edema for more than 2 years. The patient received surgery twice. During the second surgery, the combination of metagenomic next-generation sequencing (mNGS) and pathological analysis contributed to the detection of Mycobacterium tuberculosis in lesion tissues. Conventional anti-tubercular therapy confirmed the diagnosis of synovial tuberculosis in the wrist joint. In conclusion, mNGS contributed to the rapid and accurate detection of tubercle bacillus.

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Section: Discussionmentioning

confidence: 99%

Synovial tuberculosis in wrist diagnosed based on metagenomic next-generation sequencing: A case report

Lan

Lin

et al. 2022

Eur J Inflamm

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Surgical stabilization of appendicular joints in tuberculous arthritis: its place in treatment of osteoarticular tuberculosis

Zubikov¹,

Peretsmanas²

2022

Tuberk. bolezni lëgk.

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The objective: to analyze results of stabilizing techniques in the surgical treatment of tuberculous arthritis of appendicular joints, to define their place in treatment of tuberculous arthritis.Subjects and Methods. Data of 8 patients who underwent surgery for tuberculosis of appendicular joints were analyzed during the study. 7 patients suffered from tuberculosis of rare localization: ankle – 3 cases, foot – 1 case, wrist – 3 cases. And 1 patient suffers from tuberculosis of the knee joint, underwent arthrodesis, which eventually failed, had quadriceps fibrosis with no patella. At the time of the study, athroplasty couldn’t be performed in all 8 patients, so stabilizing surgery including arthrodesis was the method of choice. With the active tuberculosis disease and an extensive bone defect of the joint in 5 patients, static cement spacers loaded with anti-tuberculosis drugs were used. Spacers were used both for two-stage surgical treatment (2 cases) and one-stage (3 cases).Results: in all 8 cases, the stable eradication of tuberculosis infection was achieved with a follow-up period from 6 months to 7 years, average duration of follow-up made 2.2 Ѓ} 1.4 years. In 5 patients with tuberculosis of the ankle, foot and former knee joint, the support ability of the extremity was restored. With the stabilization of the wrist in a functionally advantageous position, all 3 patients showed a significant improvement in hand functions. After the spacer was installed, all patients were scheduled for the second stage of the operation but 3 of them achieved a good functional result, thus it was possible to avoid the next stage. The main criterion for stabilizing surgery of joints may be the impossibility of performing arthroplasty in cases of extensive bone defects as well as in case of persistent loss of anatomical structures.

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Isolated Tuberculosis of the Wrist: Subtle but Destructive

Cited by 2 publications

References 10 publications

Synovial tuberculosis in wrist diagnosed based on metagenomic next-generation sequencing: A case report

Synovial tuberculosis in wrist diagnosed based on metagenomic next-generation sequencing: A case report

Surgical stabilization of appendicular joints in tuberculous arthritis: its place in treatment of osteoarticular tuberculosis

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