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Isolated tuberculous osteomyelitis of the scapula
Rajagopalan Vijayaraghavan1, Rangashamaiah Chandrashekar, A M Jyothiprakash
1Department of General and Laparoscopic Surgery, RMV Hospital, AECS Layout, Sanjaynagar, Bangalore, Karnataka, India. wetware@sify.com
Abstract:
Isolated tuberculous osteomyelitis involving flat bones such as the scapula is extremely rare. The diagnosis is generally delayed due to non-specific complaints and radiographs mimicking pyogenic osteomyelitis, especially in those with no lung involvement. The authors report a case of isolated tuberculous osteomyelitis of the scapula in a 44-year-old woman. A review of the English literature revealed only 11 cases of isolated tuberculous osteomyelitis involving the scapula. The management is outlined and the difficulties in diagnosis are highlighted.
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