Acta Ortopédica Mexicana

Enríquez CJA, López VA,Molina MJ, Macías CCR, Echeverría BS
Osteoarticular tuberculosis of the ankle, arthrodesis with transcalcaneal nail Case report
Acta Ortop Mex 2006; 20 (5)

Language: Español
References: 14
Page: 210-213
PDF: 151.39 Kb.

[Fulltext - PDF]

ABSTRACT

Osteoarticular TB rates range from 7 to 25% with the spine, hip and knee accounting for 80% of the total number of cases, followed by the tarsus, carpus and ankle. Objective: To report a case of tuberculosis of the ankle and the treatment options. Clinical case: 49-year-old female seen at the Ministry of Health General Hospital, Mexico City. In June 2000 she started having right forefoot and ankle pain of 5/10 intensity, without an apparent cause, that worsened with activity to 8/10 and decreased with rest and NSAIDs. Baseline x-rays were normal. In august 2001 the ankle pain persisted and did not subside after two infiltrations; she could not walk and had swelling. The biopsy taken on May 2002 reported granulomatous synovitis, she was found to be PPD-positive, and underwent anti-TB treatment for one year. During treatment she reported 10/10 pain and swelling of the right ankle. The x-rays showed a decreased joint space, osteoporosis, irregular joint areas, which were proven by MRI. She underwent surgery to place a transcalcaneal nail. Results: The patient did well, arthrodesis occurred at 8 weeks with proper function.


Key words: ankle, tuberculosis, pain, osteoporosis, diagnosis, therapy, surgery, screw.


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