scholarly journals Tuberculous Dactylitis" (Spina Ventosa) in a 19 years old boy - a very rare disease

KYAMC Journal ◽  
2017 ◽  
Vol 7 (1) ◽  
pp. 726-728
Author(s):  
Muhammad Jahangir Howlader ◽  
Sohana Siddique ◽  
Abu Bakar Siddique

Tuberculous Dactylitis is an unusual form of osteoarticular tuberculosis, involving the short bones of the hand & feet. Hence it is also known spina vantosa. In our case, a 19 years old boy presented with a swelling in the middle part of right ring finger which was provisionally diagnosed as a Giant cell tumor while the possibility of spina ventosa (Tubercular dactylitis) was kept in mind. He was admitted for curettage of the phalanx followed by bone grafting. Histopathological examination report confirmed it as Spina ventosaKYAMC Journal Vol. 7, No.-1, Jul 2016, Page 726-728

2016 ◽  
Vol 475 (3) ◽  
pp. 776-783 ◽  
Author(s):  
Joseph Benevenia ◽  
Steven M. Rivero ◽  
Jeffrey Moore ◽  
Joseph A. Ippolito ◽  
Daniel A. Siegerman ◽  
...  

2021 ◽  
Vol 7 (4) ◽  
pp. 385-387
Author(s):  
Dr. Siddaram Patil N ◽  
Dr. K Sagar ◽  
Dr. Lavanya Kumari ◽  
Dr. Prasanth

Author(s):  
Akash Goel ◽  
Ajay Gupta ◽  
Nishant Bhatia ◽  
Rakesh Goyal ◽  
Anurag Mehndiratta ◽  
...  

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Shahaji Chavan ◽  
Shyamsunder Shambhu Sable ◽  
Sachin Tekade ◽  
Prashant Punia

Tuberculosis (TB) is still endemic in many developed countries. Involvement of the hand and wrist at presentation is extremely rare, and the diagnosis is often missed. A 57 years old male presented with swelling over the left wrist since 3 years Three swellings over dorsal aspect of the left wrist Soft in consistency Non tender Non compressible Mobile at right angles to the plane of the wrist joint. ESR: 45 mm in 1 hr and rest blood investigations were normal. Ultrsonography showed giant cell tumor of Extensor Digitorum sheath. X-ray: soft tissue swelling and MRI was suggestive of extensor tendon sheath extraskeletal synovial Koch’s, or giant cell tumor of tendon sheath. Excision of swelling was planned and intraoperatively, rice bodies were seen inside it. Histopathological examination showed caseous necrosis with granuloma formation. Patient was put on DOT1 therapy. Tuberculous tenosynovitis was first described by Acrel in 1777. Rice bodies occurring in joints affected by tuberculosis were first described in 1895 by Reise. Rice bodies will be diagnosed on plain radiographs when mineralization occurs. More than 50% of cases recur within 1 year of treatment. The currently recommended 6-month course is often adequate with extensive curettage lavage and synovectomy should be performed. Surgery is essential, but the extent of surgical debridement is still debatable. The surgeon has to be aware of the significance of loose bodies when performing routine excision of innocuous looking wrist ganglia.


Orthopedics ◽  
2014 ◽  
Vol 37 (5) ◽  
pp. e512-e516 ◽  
Author(s):  
JuMing Li ◽  
Yan Zhu ◽  
YongZhong Wei

Author(s):  
Byron E. Chalidis ◽  
Christos G. Dimitriou ◽  
Panagiotis K. Givissis

Abstract Background Giant cell tumor (GCT) of capitate is a rare lesion that is challenging to treat. Case Description We present a case of a 12-year-old girl suffering from a GCT of the capitate. Wide excision combined with adjuvant treatment including hydrogen peroxide, alcohol, tricortical bone grafting, and limited midcarpal and carpometacarpal fusion achieved good functional result without evidence of tumor recurrence or radiocarpal degeneration at 8 years postoperatively. Clinical Relevance In this case with long-term follow-up, surgical treatment of capitate GCT with limited midcarpal and carpometacarpal fusion led to a satisfactory outcome despite the alteration of wrist kinematics.


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