Tuberculosis of the metacarpals and phalanges of the hand

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dc.contributor.authorSubasi, M
dc.contributor.authorBukte, Y
dc.contributor.authorKapukaya, A
dc.contributor.authorGurkan, F
dc.date.accessioned2024-04-24T17:08:13Z
dc.date.available2024-04-24T17:08:13Z
dc.date.issued2004
dc.departmentDicle Üniversitesien_US
dc.description.abstractSkeletal tuberculosis (TB) is less common than the pulmonary form. Involvements of the metacarpals and phalanges of the hand are infrequent. The authors report their experience with treatment and outcome of TB of the metacarpals and phalanges of the hand in 7 patients. There were 4 women and 3 men in the study who ranged in age from 3 to 60 years (average age, 22.7 years). The duration of complaints at presentation ranged from 4 to 17 months (average, 9 months). The most common presentation was pain and swelling. The presumptive preoperative diagnoses were bone tumor in 4 patients, spina ventosa in 2, and chronic pyogenic osteomyelitis in 1 patients. The results of the laboratory examination showed a mild increase in the erythrocyte sedimentation rate. No patient had an active tubercular lesion or history of pulmonary disease. The diagnosis was based on the clinical picture and radiographic features, and was confirmed by open biopsy. No patient had bony debridement or arthrodesis to control the infection. The treatment of all patients began with a 4-drug regimen for 2 months, followed by a 2-drug regimen for 10 months. The mean follow-up was 30.28 months (range, 16-52 months). At the time of the last follow-up, all lesions had heated with no recurrence. The functional results were satisfactory in all patients. One patient with thumb metacarpophalangeal TB had joint irregularity and thumb metacarpal shortening. Arthrodesis was not needed in any patient. TB of the metacarpals and phalanges of the hand can be difficult to diagnose during the early stages. TB should be suspected in cases of long-standing pain and swelling in the metacarpals and phalanges. It is necessary to keep TB in mind when making the differential diagnosis of several osseous pathologies.en_US
dc.identifier.doi10.1097/01.sap.0000130708.80606.6a
dc.identifier.endpage472en_US
dc.identifier.issn0148-7043
dc.identifier.issue5en_US
dc.identifier.pmid15502464
dc.identifier.scopus2-s2.0-7044247827
dc.identifier.scopusqualityQ2
dc.identifier.startpage469en_US
dc.identifier.urihttps://doi.org/10.1097/01.sap.0000130708.80606.6a
dc.identifier.urihttps://hdl.handle.net/11468/17257
dc.identifier.volume53en_US
dc.identifier.wosWOS:000225110700011
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofAnnals of Plastic Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectTuberculosisen_US
dc.subjectMetacarpalen_US
dc.subjectPhalanxen_US
dc.subjectHanden_US
dc.subjectTuberculous Dactylitisen_US
dc.titleTuberculosis of the metacarpals and phalanges of the handen_US
dc.titleTuberculosis of the metacarpals and phalanges of the hand
dc.typeArticleen_US

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