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- W2078333707 abstract "Introduction: We report the presentation, management, and outcome in five children with osteoarticular tuberculosis of distal radius. Patients: Patients were recruited in a prospective study. All patients underwent an open biopsy, curettage and diagnosis confirmed by histopathological/microbiological examination. In cavitary lytic lesions, bone grafting was also undertaken. The multidrug anti-tubercular chemotherapy was given for one year. Observations: Five patients were included in the study. The average follow-up post-completion chemotherapy was 34.8 months. Bony lesions presented as a poorly defined radiolucent lytic area in metaphysis, cavitary lytic lesions with or without sequestrum or spanned the physeal plate. At final follow-up, except for one case, a full pain free range of movements was achieved in all cases. Fibular graft was used in two cases with cavitary lesions and incorporated well in both cases. Conclusions: Tuberculosis can involve the adjacent physis and can be multifocal. The presentation is usually lytic with minimal sclerosis. For smaller ill defined lesions, curettage and multidrug anti-tubercular chemotherapy results in excellent outcome. Cavitary lytic lesions should be bone grafted as there is a risk of pathological fractures." @default.
- W2078333707 created "2016-06-24" @default.
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- W2078333707 date "2014-01-01" @default.
- W2078333707 modified "2023-09-27" @default.
- W2078333707 title "LYTIC LESIONS OF DISTAL RADIUS IN CHILDREN: A RARE TUBERCULAR PRESENTATION" @default.
- W2078333707 cites W4214554246 @default.
- W2078333707 doi "https://doi.org/10.1142/s0218810414500294" @default.
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