Skip to main content

Advertisement

Log in

Tuberculous dactylitis with severe deformation in the phalanx of the index finger: a case report

  • Case Report
  • Published:
European Orthopaedics and Traumatology

Abstract

Introduction

Tuberculosis involving small tubular bones like the metacarpus, metatarsus and the phalanx (tuberculous dactylitis) is a rare form of the disease. Tuberculous dactylitis may sometimes be confused with chronic osteomyelitis, metabolic disorders, sarcoidosis or malignancies, and when the correct diagnosis is made at a later stage of disease progression, severe deformities will have already occurred in the affected bones.

Case presentation

In this case report, we present the severe deformation of a phalanx affected by tuberculous dactylitis, which has been diagnosed and treated approximately 3 months later than the first presentation 10 years ago.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

References

  1. Shen HL, Xia Y, Wang J, Han H (2010) Arthroscopic operations in knee joint with early-stage tuberculosis. Arch Orthop Trauma Surg 130:357–361

    Article  PubMed  Google Scholar 

  2. Mersa B, Ozçelik IB, Pilanci O, Kuvat SV (2010) Atypical presentation of tuberculous tenosynovitis of the hand. J Hand Surg Eur Vol 35:429–430

    Article  PubMed  Google Scholar 

  3. Subasi M, Bukte Y, Kapukaya A, Gurkan F (2004) Tuberculosis of the metacarpals and phalanges of the hand. Ann Plast Surg 53:469–472

    Article  PubMed  Google Scholar 

  4. Vervest TM, Nollen AJ, de Munck DR (1998) A case of spina ventosa. Acta Orthop Scand 69:322–323

    Article  PubMed  CAS  Google Scholar 

  5. Sunderamoorthy D, Gupta V, Bleetman A (2001) TB or not TB: an unusual sore finger. Emerg Med J 18:490–491

    Article  PubMed  CAS  Google Scholar 

  6. Chrispal A, Prabhakar T, Booruga HK (2009) A bizarre appearance of a common disease, tuberculous dactylitis, involving multiple digits in an adult. Trop Doct 39:51–52

    Article  PubMed  Google Scholar 

  7. Ngom G, Diémé C, Fall I, Ndoye M (2008) Tuberculosis dactylis: a case report. Chir Main 27:43–46, Article in French

    Article  PubMed  CAS  Google Scholar 

  8. Evanchick CC, Davis DE, Harrington TM (1986) Tuberculosis of peripheral joints: an often missed diagnosis. J Rheumatol 13:187–189

    PubMed  CAS  Google Scholar 

  9. Watts HG, Lifeso RM (1996) Tuberculosis of bones and joints. J Bone Joint Surg Am 78:288–298

    PubMed  CAS  Google Scholar 

  10. Hassan FO (2010) Tuberculous dactylitis pseudotumor of an adult thumb: a case report. Strategies Trauma Limb Reconstr 5:53–56

    Article  PubMed  Google Scholar 

  11. Martini M, Benkeddache Y, Medjani Y, Gottesman H (1986) Tuberculosis of the upper limb joint. Int Orthop 10:17–23

    PubMed  CAS  Google Scholar 

  12. Yoon CJ, Chung HW, Hong SH, Kim CJ, Kang HS (2001) MR findings of tuberculous dactylitis. Eur J Radiol 39:163–167

    Article  PubMed  CAS  Google Scholar 

  13. Keith PA, Gong A (2006) Tuberculous dactylitis. ANZ J Surg 76:416–418

    Article  PubMed  Google Scholar 

  14. Kushwaha RA, Kant S, Verma SK, Sanjay MS (2008) Isolated metacarpal bone tuberculosis-a case report. Lung India 25:17–19

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Samet Vasfi Kuvat.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Erer, M., Aydın, A., Nazik, H. et al. Tuberculous dactylitis with severe deformation in the phalanx of the index finger: a case report. Eur Orthop Traumatol 2, 97–99 (2011). https://doi.org/10.1007/s12570-011-0060-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12570-011-0060-z

Keywords

Navigation