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Chapter-050 Tuberculosis of the Wrist

BOOK TITLE: Textbook of Orthopedics & Trauma (4 Volumes)

Author

1. Tuli SM

ISBN

9789385891052

DOI

10.5005/jp/books/12869_51

Edition

3/e

Publishing Year

2016

Pages

Author Affiliations

1. Banaras Hindu University, Varanasi, India, University College of Medical Science and Guru Teg Bahadur Hospital, New Delhi, Delhi University College of Medical Sciences and GTB Hospital, New Delhi, India, Vidyasagar Institute of Mental Health and Neurosciences, Nehru Nagar, New Delhi, India, Vidyasagar Institute of Mental Health and Neurosciences, New Delhi, India, Vimhans PrimaMed Super Speciality Hospital, New Delhi, India, Vidyasagar Institute of Mental Health and Neurosciences, Nayati Medical Institutes, New Delhi, India, Vidyasagar Institute of Mental Health and Neurosciences, Vimhans Nayati Superspeciality Hospital, New Delhi, India

Chapter keywords

tuberculosis, wrist, lymph node, abscess, sinus formation, chemotherapy, ankylosis

Abstract

Abstract

This chapter discusses tuberculosis of the wrist. Tuberculosis of the wrist is a rare localization, which is more frequent in adults. The disease may start in the synovium but very soon gets disseminated in the whole carpus. Abscess and sinus formation, and regional lymph node enlargement are common. Clinical feature and management of tuberculosis of the wrist are also discussed in this chapter. Clinical features, as usual, are pain, limitation of movements, swelling, tenderness and usually a palmar flexion deformity. With the extension of disease into the distal radioulnar joint, pronation and supination are also limited. The treatment is essentially chemotherapy, correction of deformity and splintage of the wrist in 10–15° of dorsiflexion and forearm in midprone position.

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