Tuberculosis of wrist joint in an 8-year-old child presenting as hamate osteitis: A rare case report

Goel, Anshul; Sabat, Dhananjaya; Sambharia, Abhishek Kumar

doi:10.1016/j.jcot.2015.04.006

Cited by 4 publications

(7 citation statements)

References 9 publications

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“…The lesions also healed radiologically without any sequelae. [ 11 ] Our patient had a deformity at the end of treatment. Wrist stiffness is seen frequently and has a significant functional impact.…”

Section: Discussionmentioning

confidence: 97%

Wrist swelling – Is it tuberculosis?

Shah

2017

J Family Med Prim Care

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The hand and wrist are rare sites for tuberculosis (TB) and account for < 1% of all skeletal TB. Though rare, TB of the wrist is a cause of major morbidity. A common feature in the available reports on wrist TB is a delay in diagnosis causing residual stiffness and pain after treatment. Although TB of the wrist has a varied presentation, the majority of lesions respond to conservative treatment. We report a 12-year–old girl who presented with wrist swelling, having intercarpal, carpometacarpal, and radiocarpal joint involvement which turned out to be tuberculous and it healed with residual deformity.

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Section: Discussionmentioning

confidence: 97%

Wrist swelling – Is it tuberculosis?

Shah

2017

J Family Med Prim Care

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“…The wrist is a rare localization of tuberculosis. It represents 1% of bone and joint tuberculosis [1][2][3] . The disease generally begins in the scapho-lunar joint following haematogenic inoculation of the articular synovium in two thirds of cases, or inoculation by contiguity from tuberculosis tenosynovitis in third of cases [4,5] .…”

Section: Discussionmentioning

confidence: 99%

“…According to F. Dlimi, surgery, which is useless for a curative purpose, finds its place essentially for diagnostic or functional purposes [7] . On the other hand, A.Goel recommends debridement surgery if there is a significant destruction of the wrist [1] . P. Borman [3] and M. Komurcu [13] allow resection of the first row of carpal bones destroyed by tuberculosis for better control of infection in advanced stages.…”

Section: Discussionmentioning

confidence: 99%

Tuberculosis of the wrist: A rare case of osteoarticular tuberculosis

Lajmi¹,

Jemaa²,

Abid³

et al. 2022

Int. J. Case Rep. Orthop.

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Tuberculosis is an infectious disease which represents a real public health problem. Bone and joint involvement is rare. Although its location in the wrist is exceptional, it should always be considered in case of chronic pain especially in endemic countries. We report the case of a 22-year-old young man, from urban origin, who suffered from a painful and inflammatory right wrist developed after a benign trauma. Tuberculin skin test was positive. The search of Mycobacterium tuberculosis in sputum and urine was negative. Laboratory tests showed an inflammatory syndrome without hyper-leukocytosis. A destructive osteo-arthritis was showed by radiological exploration which has been well analyzed by MRI. Surgical drainage and immobilization by external fixation were done. Microbiological culture of per-operative sampling was negative. The search of Mycobacterium tuberculosis on direct examination and culture was negative. Surgical biopsy confirmed the tuberculous origin showing a giant cell granuloma centered by a caseous necrosis indicating then the initiation of anti-tuberculous therapy. After four years of follow-up, a good evolution was noted and the patient had an acceptable useful function. Tuberculosis of the wrist remains a rare location of the disease. It has to be suspected in case of every chronic wrist pain in endemic area. Conservative management offers good results only at early stages.

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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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Tuberculosis of wrist joint in an 8-year-old child presenting as hamate osteitis: A rare case report

Cited by 4 publications

References 9 publications

Wrist swelling – Is it tuberculosis?

Wrist swelling – Is it tuberculosis?

Tuberculosis of the wrist: A rare case of osteoarticular tuberculosis

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

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