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Tuberculosis of the Elbow Region in Pediatric Age Group - Experiences from a Single Centre

Anil Agarwal1, Anuj Rastogi2

  • 1* Department of Pediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, India.

The Journal of Hand Surgery Asian-Pacific Volume
|November 10, 2017
PubMed

Insights

Pediatric elbow tuberculosis is rare. Early signs like discharging sinus and the "ice cream scoop" appearance predict poor functional outcomes, even with non-operative treatment.

Area of Science:

  • Pediatric Orthopedics
  • Infectious Diseases
  • Radiology

Background:

  • Tuberculosis (TB) of the elbow in children is infrequently documented.
  • Limited clinical series exist, necessitating further research into its presentation and outcomes.

Purpose of the Study:

  • To retrospectively analyze the clinical presentation, radiological healing, and functional results in 30 pediatric patients with elbow tuberculosis.
  • To identify prognostic indicators for functional outcomes in pediatric elbow TB.

Main Methods:

  • Retrospective review of case records for pretreatment disease presentation.
  • Serial radiographic analysis to assess lesion healing and remineralization.
  • Functional evaluation including pain, range of motion, and recurrence at final follow-up.

Main Results:

  • Mean age was 8.2 years; mean symptom duration was 47 days.
  • Discharging sinus and multifocal lesions were observed in some patients.
  • The 'ice cream scoop' appearance was associated with worse functional outcomes and decreased elbow flexion arc.

Conclusions:

  • Early discharging sinus and the 'ice cream scoop' radiological sign suggest tuberculosis.
  • Late presentation and advanced disease, particularly with the 'ice cream scoop' appearance, correlate with reduced elbow flexion arc and poorer functional results.
Abstract

Keywords:
ChildElbowOsteoarticular tuberculosisPediatric

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