Wrist Joint Tuberculosis Masquerading As Traumatic Arthritis Sequalae

Overview

Journal BMC Musculoskelet Disord

Publisher Biomed Central

Specialties Orthopedics
Physiology

Date 2025 Feb 28

PMID 40022056

Authors

Han-Zheng Li

Jun Zhang

Liang Ma

Hai-Feng Jia

Jia-Cheng Li

Gang Li

Affiliations

Soon will be listed here.

Abstract

Background: Wrist joint tuberculosis(WJ-TB)is a rare manifestation of osteoarticular tuberculosis(OAT).Delayed diagnosis is common and often leads to postponed treatment, resulting in complications such as joint stiffness and persistent pain in the affected limb.

Case Presentation: A 50-year-old man presented with symptoms in the wrist joint suggestive of WJ-TB.Initially, he was diagnosed with traumatic arthritis.However, following a series of diagnostic tests, the final diagnosis of tuberculous arthritis was confirmed.The patient underwent effective treatment, which led to a marked improvement in his condition.

Conclusions: WJ-TB is a treatable condition.Early diagnosis and prompt treatment are essential to prevent joint destruction and maintain function in patients with OAT.

References

Hassanpour S, Gousheh J . Mycobacterium tuberculosis-induced carpal tunnel syndrome: management and follow-up evaluation. J Hand Surg Am. 2006; 31(4):575-9. DOI: 10.1016/j.jhsa.2005.01.018. View

Martini M, Benkeddache Y, Medjani Y, Gottesman H . Tuberculosis of the upper limb joints. Int Orthop. 1986; 10(1):17-23. DOI: 10.1007/BF00266268. View

Xu G, Hu X, Lian Y, Li X . Diabetes mellitus affects the treatment outcomes of drug-resistant tuberculosis: a systematic review and meta-analysis. BMC Infect Dis. 2023; 23(1):813. PMC: 10662654. DOI: 10.1186/s12879-023-08765-0. View

Prakash J, Mehtani A . Hand and wrist tuberculosis in paediatric patients - our experience in 44 patients. J Pediatr Orthop B. 2016; 26(3):250-260. DOI: 10.1097/BPB.0000000000000325. View

Subasi M, Bukte Y, Kapukaya A, Gurkan F . Tuberculosis of the metacarpals and phalanges of the hand. Ann Plast Surg. 2004; 53(5):469-72. DOI: 10.1097/01.sap.0000130708.80606.6a. View

Procopie I, Anusca D, Ontica V, Muresan R . Diagnosis and Treatment Particularities in Osteoarticuar Tuberculosis. Curr Health Sci J. 2019; 43(2):153-158. PMC: 6284173. DOI: 10.12865/CHSJ.43.02.08. View

Kendall E, Kamoga C, Kitonsa P, Nalutaaya A, Salvatore P, Robsky K . Empiric treatment of pulmonary TB in the Xpert era: Correspondence of sputum culture, Xpert MTB/RIF, and clinical diagnoses. PLoS One. 2019; 14(7):e0220251. PMC: 6655770. DOI: 10.1371/journal.pone.0220251. View

Seung O, Sulaiman W . Osteoarticular tuberculosis mimicking rheumatoid arthritis. Mod Rheumatol. 2012; 22(6):931-3. DOI: 10.1007/s10165-012-0605-1. View

Sivasamy P, Bajuri M, Ghani A . Tuberculosis of the Left Wrist Joint and Spine. Cureus. 2020; 11(11):e6203. PMC: 6925370. DOI: 10.7759/cureus.6203. View

10.

Parker R . Implications of Tuberculosis Sputum Culture Test Sensitivity on Accuracy of Other Diagnostic Modalities. Am J Respir Crit Care Med. 2018; 199(5):664. PMC: 6396855. DOI: 10.1164/rccm.201811-2112LE. View

11.

Ocguder A, Tosun O, Akkurt O, Oguz T, Colakoglu T . Tuberculosis of the foot: a rare involvement in osteoarticular tuberculosis. J Clin Rheumatol. 2006; 12(6):304-5. DOI: 10.1097/01.rhu.0000250297.26149.8a. View

12.

Lopes M, Furtado I, Brandao M, Farinha F . Tuberculous osteomyelitis of the wrist presenting as a monoarthritis syndrome. BMJ Case Rep. 2018; 2018. PMC: 5847963. DOI: 10.1136/bcr-2017-222136. View

13.

Malaviya A, Kotwal P . Arthritis associated with tuberculosis. Best Pract Res Clin Rheumatol. 2003; 17(2):319-43. DOI: 10.1016/s1521-6942(02)00126-2. View

14.

Kotwal P, Khan S . Tuberculosis of the hand: clinical presentation and functional outcome in 32 patients. J Bone Joint Surg Br. 2009; 91(8):1054-7. DOI: 10.1302/0301-620X.91B8.22074. View

15.

Leung P . Tuberculosis of the hand. Hand. 1978; 10(3):285-91. DOI: 10.1016/s0072-968x(78)80052-7. View

16.

Zou L, Guo X, Xue H, Huang D, Lv H, Tan M . Wrist tuberculosis-experience from eighteen cases: a retrospective study. J Orthop Surg Res. 2021; 16(1):37. PMC: 7797126. DOI: 10.1186/s13018-020-02198-0. View

17.

Tsai M, Liu J, Chen W, de Villa V . Tuberculous wrist in the era of effective chemotherapy: an eleven-year experience. Int J Tuberc Lung Dis. 2003; 7(7):690-4. View

18.

Lemnouer A, Frikh M, Belfquih B, Jaafar A, Bouya A, Jidal M . Navicular tuberculosis: A rare localization of bone tuberculosis. IDCases. 2016; 2(3):80-2. PMC: 4712193. DOI: 10.1016/j.idcr.2015.08.002. View

19.

Parmar H, Shah J, Patkar D, Singrakhia M, Patankar T, Hutchinson C . Tuberculous arthritis of the appendicular skeleton: MR imaging appearances. Eur J Radiol. 2004; 52(3):300-9. DOI: 10.1016/j.ejrad.2003.11.003. View

20.

Bayram S, Ersen A, Altan M, Durmaz H . Tuberculosis tenosynovitis with multiple rice bodies of the flexor tendons in the wrist: A case report. Int J Surg Case Rep. 2016; 27:129-132. PMC: 5018083. DOI: 10.1016/j.ijscr.2016.08.021. View