Tuberculous osteoarthritis of the wrist about three observations and review of the literature
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 4
Abstract
Objectives: To determine the therapeutic modalities and to specify the evolution of the treatment of osteo-articular tuberculosis of the wrist. Introduction: Osteoarticular tuberculosis is rare 3 to 5% of all localizations by BK. Their diagnosis is often late. Patients and methods: This was a retrospective study continued from January 2010 to November 2017. 3 patients, 2 men and 1 woman aged 39.66 years (range 19 to 65 years) were involved. The average consultation time was 17 months (range 3 to 24 months). For both patients, it was isolated osteoarthritis of the wrist and for the 3rd, it was associated with another location. Two patients presented a concept of tuberculous contagion and the other a pulmonary tuberculosis associated with Pott's disease. The function was evaluated according to the Mayo Wrist score and the winding of the fingers. Results: The treatment consisted of debridement in all cases. In all our patients the pathological examination found an epitio-gigantocellular granuloma with caseous necrosis. Anti-tuberculosis chemotherapy was instituted in all patients for a period of 6 months (n = 2, one of which is still in treatment), 9 months (n = 1). At the average follow-up of 5 years in the 2 (extremes 2 and 8 years), we did not observe a recurrence. The function was good the 2 cases that finished their treatment with a complete winding of the fingers. Conclusion: Treatment is based on debridement and antituberculous chemotherapy. Applied early, it provides excellent results.
Authors and Affiliations
Dembélé B, Coulibaly NF, Diouf AB, Dia R, Sarr L, Daffé M, Gueye AB, Nguessi I, Sidibé M, Sané AD, Diémé CB
Keywords
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- EP ID EP482595
- DOI 10.22271/ortho.2017.v3.i4k.102
- Views 117
- Downloads 0
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