腕关节结核的一种罕见定位：舟月关节。

A rare localization of tuberculosis of the wrist: The scapholunate joint.

作者信息

Sbai Mohamed Ali, Benzarti Sofien, Bouzaidi Khaled, Sbei Feten, Maalla Riadh

机构信息

Department of Orthopedic Surgery and Trauma, MT Maamouri Hospital, Nabeul, Tunisia.

出版信息

Int J Mycobacteriol. 2015 Jun;4(2):161-4. doi: 10.1016/j.ijmyco.2015.04.001. Epub 2015 Apr 30.

DOI:10.1016/j.ijmyco.2015.04.001

PMID:26972887

Abstract

The tuberculosis of the hand and the wrist is a rare entity. Affecting the scapholunate joint is exceptional. It is usually diagnosed at an advanced stage of carpal destruction, due to slowly development of the symptoms. We report the case of a 58-year-old female, presenting as wrist pain for 3 months. Clinical study showed a local swelling in the left wrist, the mobility of the wrist was normal but painful at the end of motion. The diagnosis of osteoarticular tuberculosis was suspected after radiological and biological study then confirmed after histological study. Antibacillary chemotherapy during 12 months promoted healing and good outcome.

摘要

手部和腕部结核是一种罕见病症。累及舟月关节的情况极为罕见。由于症状发展缓慢，该病通常在腕骨破坏的晚期才得以诊断。我们报告一例58岁女性病例，其腕部疼痛3个月。临床检查发现左手腕局部肿胀，腕部活动正常，但活动末期疼痛。经放射学和生物学检查后怀疑为骨关节结核，组织学检查后得以确诊。12个月的抗结核化疗促使病情痊愈且预后良好。