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[Tuberculosis of the hand].

H Rieger1, D Pennig, G Edel

  • 1Klinik und Poliklinik für Unfall- und Handchirurgie, Westfälischen Wilhelms-Universität Münster.

Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|July 1, 1990
PubMed
Summary

Tuberculosis of the hand bones is rare. This case highlights diagnostic challenges of tuberculous osteomyelitis in a finger phalanx, even with a positive chest X-ray.

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Area of Science:

  • Orthopedics
  • Infectious Diseases
  • Radiology

Background:

  • Skeletal tuberculosis (TB) is uncommon, particularly affecting the small bones of the hand.
  • Early diagnosis is crucial for effective management and preventing complications.

Observation:

  • A 27-year-old female presented with osteomyelitis of the middle phalanx of her left ring finger.
  • The patient had no history of hand-related occupational exposure but a positive chest roentgenogram.

Findings:

  • The case illustrates diagnostic difficulties associated with rare skeletal TB manifestations in short tubular hand bones.
  • Differential diagnosis, clinical course, and treatment strategies for hand skeletal TB were reviewed.

Implications:

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  • This case underscores the importance of considering tuberculosis in the differential diagnosis of hand bone infections.
  • Awareness of atypical presentations is vital for timely and accurate diagnosis and treatment of skeletal TB.