Karkhur Yugal, Tiwari Vivek, Lodhi Jeetendra, Tiwari Anurag
Department of Orthopaedics, Maulana Azad Medical College, New Delhi, India.
Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.
Cureus. 2017 Sep 22;9(9):e1708. doi: 10.7759/cureus.1708.
Osteo-articular tuberculosis continues to be a major global pandemic, with its greatest impact in the third-world countries. Among osteo-articular tuberculosis, plantar localisation, particularly isolated involvement of the talus is an extremely rare event. We discuss the case of a 20-year-old male diagnosed with isolated tuberculosis of right talus without the radiological involvement of the distal tibia, fibula or calcaneum. The diagnosis was made with the help of magnetic resonance imaging and confirmed through core biopsy of the talus. He was treated with multi-drug antitubercular chemotherapy and ankle immobilization with protected weight bearing with good results.
骨-关节结核仍然是全球主要的大流行病，在第三世界国家影响最为严重。在骨-关节结核中，足底部位，尤其是距骨单独受累是极为罕见的情况。我们讨论了一名20岁男性的病例，该患者被诊断为右距骨孤立性结核，而远端胫骨、腓骨或跟骨无影像学受累。诊断借助磁共振成像做出，并通过距骨的核心活检得以证实。他接受了多药抗结核化疗，并通过踝关节固定和保护性负重治疗，效果良好。
