Foot and ankle tuberculosis: Case series and literature review |
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| Affiliation: | 1. Regis University, School of Physical Therapy, 3333 Regis Boulevard, G-4, Denver, CO 80221, United States;2. Northern Arizona University, P.O. Box 15105, Flagstaff, AZ 86011, United States;1. Leicester Royal Infirmary, Leicester, UK;2. The Royal London Hospital, London, UK;3. Colchester Hospitals University Foundation Trust, UK;1. Department of Orthopaedic Surgery, Kainan Hospital, Aichi Prefectual Federation of Agricultural Cooperatives for Health and Welfare, Yatomi, Japan;2. Department of Functional Anatomy, Nagoya City University Graduate School of Medical Sciences, Nagoya City, Japan;3. Department of Orthopedic Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya City, Japan;4. Department of Orthopaedic Surgery, Nagoya City East Medical Center, Nagoya, Japan |
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| Abstract: | Foot and ankle tuberculosis (TB) is a rare presentation of skeletal TB. The uncommon site along with low index of clinical suspicion in the western world leads to delays in the diagnosis and treatment. This can make joint sparing procedures less successful, especially in the midfoot where the joints can often be interconnected. Plain radiographs have low sensitivity and specificity and cross sectional imaging in the form of MRI or CT is more reliable. Treatment involves the use of multiple anti-tuberculous drugs in the first instance, followed by surgery to address any symptomatic deformity and/or secondary degenerative changes. We present our experience on the management of this rare problem and review the literature on the clinical presentation, diagnosis, imaging modalities and treatment. |
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| Keywords: | Tuberculosis Foot Ankle Fusion Treatment Diagnosis |
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