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Lytic lesions of distal radius in children: a rare tubercular presentation

Publication Type : Journal Article

Source : Hand Surg. 2014;19(3):369-74

Url :,a%20risk%20of%20pathological%20fractures.

Campus : Faridabad

Year : 2014

Abstract : Introduction: We report the presentation, management, and outcome in five children with osteoarticular tuberculosis of distal radius. Patients: PATIENTS were recruited in a prospective study. All patients underwent an open biopsy, curettage and diagnosis confirmed by histopathological/microbiological examination. In cavitary lytic lesions, bone grafting was also undertaken. The multidrug anti-tubercular chemotherapy was given for one year. Observations: Five patients were included in the study. The average follow-up post-completion chemotherapy was 34.8 months. Bony lesions presented as a poorly defined radiolucent lytic area in metaphysis, cavitary lytic lesions with or without sequestrum or spanned the physeal plate. At final follow-up, except for one case, a full pain free range of movements was achieved in all cases. Fibular graft was used in two cases with cavitary lesions and incorporated well in both cases. Conclusions: Tuberculosis can involve the adjacent physis and can be multifocal. The presentation is usually lytic with minimal sclerosis. For smaller ill defined lesions, curettage and multidrug anti-tubercular chemotherapy results in excellent outcome. Cavitary lytic lesions should be bone grafted as there is a risk of pathological fractures.

Cite this Research Publication : Agarwal A, Kant KS, Kumar A, Shaharyar A, Verma I, Suri T. Lytic lesions of distal radius in children: a rare tubercular presentation. Hand Surg. 2014;19(3):369-74.

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