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2025
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| Online Access: | https://doi.org/10.21474/IJAR01/20689 |
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| author | Ankit Kataria , Sumedh Kumar , Ashok Kumar and Ram Kishore |
| author_facet | Ankit Kataria , Sumedh Kumar , Ashok Kumar and Ram Kishore |
| contents | <p><strong>Introduction: </strong>Musculoskeletal Tuberculosis is seen in 10-15% of all cases and hand involvement is seen in about 10% of this subset. This study was done to bring to light the various clinical manifestations of tuberculosis in the hand, emphasizing the importance of early diagnosis and timely anti-tubercular therapy for a good functional outcome, especially in a country that is endemic to tuberculosis.</p> <p><strong>Methods: </strong>This study was a retrospective, observational study in which patients who were presented to the out-patient department of a tertiary care teaching hospital in western Uttar Pradesh, between January 2020 to January 2022 with suspected tuberculosis of the hand were included. A diagnosis of tuberculosis was made in patients with clinico-radiological features and histopathological confirmation or a positive centrifugation-based nucleic acid amplification test (CBNAAT). Anti-tubercular therapy was started as per the National Tuberculosis Elimination Program (NTEP). Surgical intervention was done for cases that did not respond to medical management for four to six weeks. Patients were followed up at one, three, six and 12 months and were assessed radiologically, and functional scoring was done by a modified Green OBrien score.</p> <p><strong>Results:</strong> In our study of 11 patients, 10 patients (91%) were treated by conservative management and only one patient required surgical intervention in addition to pharmacotherapy. The mean Green OBrien score improved from a mean score of 52 (poor) prior to initiation of therapy to 88 (Good) on the last follow-up visit.</p> <p><strong>Conclusion: </strong>Tuberculosis is often caught masquerading as something else due to its various manifestations and indolent course of disease. Our study reinforces the school of thought that early detection and a conservative approach with anti-tubercular therapy leads to a good functional outcome for the patient.</p> |
| format | Recurso digital |
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| institution | Zenodo |
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| publishDate | 2025 |
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| spellingShingle | TUBERCULOSIS OF HAND: IS CONSERVATIVE TREATMENT THE KEY? Ankit Kataria , Sumedh Kumar , Ashok Kumar and Ram Kishore <p><strong>Introduction: </strong>Musculoskeletal Tuberculosis is seen in 10-15% of all cases and hand involvement is seen in about 10% of this subset. This study was done to bring to light the various clinical manifestations of tuberculosis in the hand, emphasizing the importance of early diagnosis and timely anti-tubercular therapy for a good functional outcome, especially in a country that is endemic to tuberculosis.</p> <p><strong>Methods: </strong>This study was a retrospective, observational study in which patients who were presented to the out-patient department of a tertiary care teaching hospital in western Uttar Pradesh, between January 2020 to January 2022 with suspected tuberculosis of the hand were included. A diagnosis of tuberculosis was made in patients with clinico-radiological features and histopathological confirmation or a positive centrifugation-based nucleic acid amplification test (CBNAAT). Anti-tubercular therapy was started as per the National Tuberculosis Elimination Program (NTEP). Surgical intervention was done for cases that did not respond to medical management for four to six weeks. Patients were followed up at one, three, six and 12 months and were assessed radiologically, and functional scoring was done by a modified Green OBrien score.</p> <p><strong>Results:</strong> In our study of 11 patients, 10 patients (91%) were treated by conservative management and only one patient required surgical intervention in addition to pharmacotherapy. The mean Green OBrien score improved from a mean score of 52 (poor) prior to initiation of therapy to 88 (Good) on the last follow-up visit.</p> <p><strong>Conclusion: </strong>Tuberculosis is often caught masquerading as something else due to its various manifestations and indolent course of disease. Our study reinforces the school of thought that early detection and a conservative approach with anti-tubercular therapy leads to a good functional outcome for the patient.</p> |
| title | TUBERCULOSIS OF HAND: IS CONSERVATIVE TREATMENT THE KEY? |
| url | https://doi.org/10.21474/IJAR01/20689 |