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Related Experiment Videos

Tuberculosis of the upper extremity.

P J Skoll1, D A Hudson

  • 1Department of Plastic, Reconstructive & Maxillo-Facial Surgery, Groote Schuur Hospital, and University of Cape Town, Observatory 7925, South Africa.

Annals of Plastic Surgery
|October 12, 1999
PubMed
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This study presents a successful treatment regimen for upper extremity tuberculosis, combining chemotherapy, splinting, and physiotherapy. The approach led to infection resolution and improved range of motion in most patients.

Area of Science:

  • Orthopedics
  • Infectious Diseases
  • Medical Microbiology

Background:

  • Tuberculosis (TB) of the upper extremity is a rare manifestation of extrapulmonary TB.
  • Delayed diagnosis is common, leading to potential long-term morbidity.
  • Optimal management strategies require further elucidation.

Purpose of the Study:

  • To present a series of upper extremity tuberculosis cases.
  • To evaluate the efficacy of a combined treatment approach.
  • To report on functional outcomes and range of motion.

Main Methods:

  • Retrospective review of twelve cases of upper extremity tuberculosis over five years.
  • Treatment included combination antituberculous chemotherapy (minimum 6 months), splinting, and intensive physiotherapy.

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  • Surgical interventions were limited to biopsy, tenosynovectomy, nerve decompression, and abscess drainage.

    • Main Results:

    • Average time to diagnosis was 5 months.
    • Eleven out of twelve patients achieved resolution of infection.
    • Significant improvement in the range of motion was observed post-treatment.
    • No bony debridement or early arthrodesis was performed.

    Conclusions:

    • A conservative management approach combining chemotherapy, splinting, and physiotherapy is effective for upper extremity tuberculosis.
    • This regimen can lead to infection control and functional recovery.
    • Surgical intervention should be reserved for specific indications.