Tuberculosis of the Upper-Limb Joints

Martini, M

doi:10.1007/978-3-642-61358-6_10

Cited by 20 publications

(41 citation statements)

References 10 publications

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“…Hand and wrist involvement are seen in 10% of patients with musculoskeletal disease [7]. The symptoms initially are non-specific in the form of joint pain, swelling, effusion, stiffness, carpal tunnel syndrome, limitation of movement, and discharging sinuses.…”

Section: Discussionmentioning

confidence: 99%

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Isolated tuberculosis of the wrist: A rare case of extrapulmonary tuberculosis

Mussa¹,

O’Connor²,

Waterston³

et al. 2013

IJCRI

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Introduction:Atypical infections with mycobacteria are unusual in the developed countries and tuberculous involvement of the wrist or carpal bones is a rare presentation. case report: this is a new rare case of tuberculosis of the wrist joint in a non-immunocompromised 24-year-old male without concomitant pulmonary tuberculosis. He then underwent two months course of intra-articular steroid injections and methotrexate therapy for a presumed diagnosis of inflammatory oligoarthritis of the wrist as radiographs were reported as normal. the diagnosis was initially obscured by lack of systemic symptoms and was established by direct visualization of acid-fast bacilli on joint fluid and biopsy of the abscess. Musculoskeletal involvement in tuberculosis may be easily missed because of its non-specific clinical signs. the disease may mimic inflammatory arthritis and high index of suspicion is required when dealing with long standing inflammatory swellings.

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Section: Discussionmentioning

confidence: 99%

“…However, a prolonged course of antituberculous drugs is the basis of treatment [5,7,14]. Watts and Lifeso recommended that treatment should be continued for a minimum of 12 months for osteoarticular involvement [15].…”

Section: Discussionmentioning

confidence: 99%

Isolated tuberculosis of the wrist: A rare case of extrapulmonary tuberculosis

Mussa¹,

O’Connor²,

Waterston³

et al. 2013

IJCRI

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“…19.13 ). The classic "spina ventosa" (Latin: spina = short bone, ventosa = fi lled with air) pattern is that of a massive spindle shaped metacarpal or phalanx [ 80 ]. Chronic discharging sinuses occur late on, with secondary bacterial infection resulting in sequestrum formation.…”

Section: Tuberculous Osteomyelitismentioning

confidence: 99%

“…Monoarthritis usually takes a prolonged course, however involvement of the wrist or polyarthritis of digits usually progresses rapidly [ 76 ]. Sinus formation occurs late, and bony destruction results in joint subluxations, dislocations and fi nally ankylosis [ 80 ]. Diagnosis is confi rmed through biopsy and cultures.…”

Section: Tuberculous Arthritismentioning

confidence: 99%

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Hand Infections

Barabas¹,

Fleming²

2014

Disorders of the Hand

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Tuberculous arthritis of the elbow

Chen

Wang

Eng

1998

International Orthopaedics

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Twenty-three patients with tuberculous arthritis of the elbow were treated and followed up for 3 to 8 years. The diagnosis was established by finding mycobacterium tuberculosis in the aspirate or in a surgical specimen in 18, and by histology in 5. A long history of symptoms and extensive involvement of bone and joint are associated with poor results. Early diagnosis and adequate treatment can be followed by good functional results. Postoperative continuous passive motion is valuable in improving the range of movement in elbows with extensive osteoarticular tuberculosis.

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Tuberculosis of the Upper-Limb Joints

Cited by 20 publications

References 10 publications

Isolated tuberculosis of the wrist: A rare case of extrapulmonary tuberculosis

Isolated tuberculosis of the wrist: A rare case of extrapulmonary tuberculosis

Hand Infections

Tuberculous arthritis of the elbow

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