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Chapter-053 Tuberculosis of Rare Sites, Girdle and Flat Bones

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

Author
1. Tuli SM
ISBN
9789385891052
DOI
10.5005/jp/books/12869_54
Edition
3/e
Publishing Year
2016
Pages
4
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, girdle bone, flat bone, sternoclavicular joint, acromioclavicular joint, clavicle, scapula, symphysis pubis

Abstract

This chapter discusses tuberculosis of rare sites, girdle, and flat bones. Sternoclavicular joint is an extremely rare location. The condition usually starts from the medial extremity of clavicle. The patient presents with a painful swelling of insidious onset in the sternoclavicular joint. Tuberculosis of the clavicle without involvement of the neighboring joints can be seen rarely. Acromioclavicular joint location is extremely uncommon. The disease may start from the lateral extremity of the clavicle or from the tip of the acromion. The signs, symptoms, differential diagnosis and treatment are same as for sternoclavicular joint. Treatment is by antitubercular drugs. Surgery is indicated in doubtful diagnosis, refractory cases or those who have recurred despite adequate drug therapy.

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