Jain Vijay Kumar, Kumar Dharmendra, Arya Rajendra Kumar, Sinha Skand, Naik Ananta Kumar
Department of Orthopaedics, PGIMER, Dr Ram Manohar Lohia Hospital, New Delhi 110001, India.
King George's Medical University, Uttar Pradesh India.
Foot (Edinb). 2016 Jun;27:19-21. doi: 10.1016/j.foot.2016.03.002. Epub 2016 Mar 19.
The reporting of isolated metatarsal tuberculosis in the available literature is sparse, herein we report a case of 26-year-old female who presented with insidious onset pain and swelling in her forefoot. Radiograph showed osteolysis of the first metatarsal. Magnetic resonance imaging showed osseous erosion with marrow oedema. Diagnosis was ascertained by fine needle aspiration cytology of the lesion. The patient received anti-tubercular therapy and showed good clinical outcome. This case is reported because of its rarity of involving isolated metatarsal bone as a cause of forefoot pain.
现有文献中关于孤立性跖骨结核的报道很少，在此我们报告一例26岁女性患者，她的前足出现隐匿性疼痛和肿胀。X线片显示第一跖骨骨质溶解。磁共振成像显示骨质侵蚀伴骨髓水肿。通过病变的细针穿刺细胞学检查确诊。患者接受了抗结核治疗，临床效果良好。报告该病例是因为孤立性跖骨作为前足疼痛原因的情况罕见。
