Document Detail


Lytic lesions of distal radius in children: a rare tubercular presentation.
MedLine Citation:
PMID:  25288286     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
INTRODUCTION: We report the presentation, management, and outcome in five children with osteoarticular tuberculosis of distal radius.
PATIENTS: PATIENTS were recruited in a prospective study. All patients underwent an open biopsy, curettage and diagnosis confirmed by histopathological/microbiological examination. In cavitary lytic lesions, bone grafting was also undertaken. The multidrug anti-tubercular chemotherapy was given for one year.
OBSERVATIONS: Five patients were included in the study. The average follow-up post-completion chemotherapy was 34.8 months. Bony lesions presented as a poorly defined radiolucent lytic area in metaphysis, cavitary lytic lesions with or without sequestrum or spanned the physeal plate. At final follow-up, except for one case, a full pain free range of movements was achieved in all cases. Fibular graft was used in two cases with cavitary lesions and incorporated well in both cases.
CONCLUSIONS: Tuberculosis can involve the adjacent physis and can be multifocal. The presentation is usually lytic with minimal sclerosis. For smaller ill defined lesions, curettage and multidrug anti-tubercular chemotherapy results in excellent outcome. Cavitary lytic lesions should be bone grafted as there is a risk of pathological fractures.
Authors:
Anil Agarwal; Kumar Shashi Kant; Anubrat Kumar; Abbas Shaharyar; Indreshwar Verma; Tarun Suri
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand     Volume:  19     ISSN:  1793-6535     ISO Abbreviation:  Hand Surg     Publication Date:  2014  
Date Detail:
Created Date:  2014-10-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9602613     Medline TA:  Hand Surg     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  369-74     Citation Subset:  IM    
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