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Tuberculosis of the foot
1Department of Orthopaedic Surgery, All India Institute of Medical Sciences, New Delhi.
The Journal of Bone and Joint Surgery. British Volume
|January 1, 2000
Summary
Tuberculosis of the foot presents five radiological patterns, with cystic lesions showing the best outcomes. All patients achieved cure with 18 months of antituberculous treatment, avoiding surgery.
Area of Science:
- Orthopedics
- Radiology
- Infectious Diseases
Background:
- Tuberculosis (TB) can affect the foot, presenting diverse radiological manifestations.
- Understanding these patterns is crucial for prognostication and management.
Purpose of the Study:
- To identify and classify radiological patterns of tuberculosis in the foot.
- To correlate these patterns with patient outcomes and treatment response.
Main Methods:
- Retrospective analysis of 44 patients with confirmed tuberculosis of the foot.
- Classification of radiological lesions into five distinct patterns: cystic, rheumatoid, subperiosteal, kissing, and spina ventosa.
- Evaluation of treatment outcomes following standard antituberculous therapy.
Main Results:
- Five radiological patterns were identified: cystic, rheumatoid, subperiosteal, kissing, and spina ventosa.
- Cystic destruction demonstrated the most favorable outcome, while the rheumatoid pattern had the poorest.
- All 44 patients were successfully treated with 18 months of antituberculous medication, with no surgical intervention required.
Conclusions:
- Radiological pattern is a significant prognostic indicator in foot tuberculosis.
- Conservative management with prolonged antituberculous treatment is effective for all identified radiological patterns.
- Early identification and classification of lesion types can guide treatment strategies and predict outcomes.