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Isolated cystic tuberculosis of scapula; case report and review of literature

Tubercular osteomylitis of scapula is extremely rare. The isolated involvement of this flat bone without any primary focus confuses the surgeon with other pathology and as a result there is always delay in diagnosis. This article discusses about an isolated multicystic tubercular lesion of scapula w...

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Autores principales: Tripathy, Sujit K, Sen, Ramesh K, Sharma, Anurag, Tamuk, Tajir
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2959054/
https://www.ncbi.nlm.nih.gov/pubmed/20932322
http://dx.doi.org/10.1186/1749-799X-5-72
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author Tripathy, Sujit K
Sen, Ramesh K
Sharma, Anurag
Tamuk, Tajir
author_facet Tripathy, Sujit K
Sen, Ramesh K
Sharma, Anurag
Tamuk, Tajir
author_sort Tripathy, Sujit K
collection PubMed
description Tubercular osteomylitis of scapula is extremely rare. The isolated involvement of this flat bone without any primary focus confuses the surgeon with other pathology and as a result there is always delay in diagnosis. This article discusses about an isolated multicystic tubercular lesion of scapula which remained untreated for about two years as the primary physician biased with the history of trauma and suspected it to be a post-traumatic hematoma. MRI picture was deceptive. Finally, diagnosis was established by fine needle aspiration which showed typical epitheloid granuloma on histology. Lack of awareness and nonspecific radiological picture may cause delay in diagnosis of scapular tuberculosis. Tuberculosis is an important consideration in isolated scapular swelling particularly in endemic regions and the histological diagnosis by fine needle aspiration may be helpful in cases of doubtful radiological pictures.
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spelling pubmed-29590542010-10-22 Isolated cystic tuberculosis of scapula; case report and review of literature Tripathy, Sujit K Sen, Ramesh K Sharma, Anurag Tamuk, Tajir J Orthop Surg Res Case Report Tubercular osteomylitis of scapula is extremely rare. The isolated involvement of this flat bone without any primary focus confuses the surgeon with other pathology and as a result there is always delay in diagnosis. This article discusses about an isolated multicystic tubercular lesion of scapula which remained untreated for about two years as the primary physician biased with the history of trauma and suspected it to be a post-traumatic hematoma. MRI picture was deceptive. Finally, diagnosis was established by fine needle aspiration which showed typical epitheloid granuloma on histology. Lack of awareness and nonspecific radiological picture may cause delay in diagnosis of scapular tuberculosis. Tuberculosis is an important consideration in isolated scapular swelling particularly in endemic regions and the histological diagnosis by fine needle aspiration may be helpful in cases of doubtful radiological pictures. BioMed Central 2010-10-08 /pmc/articles/PMC2959054/ /pubmed/20932322 http://dx.doi.org/10.1186/1749-799X-5-72 Text en Copyright ©2010 Tripathy et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Tripathy, Sujit K
Sen, Ramesh K
Sharma, Anurag
Tamuk, Tajir
Isolated cystic tuberculosis of scapula; case report and review of literature
title Isolated cystic tuberculosis of scapula; case report and review of literature
title_full Isolated cystic tuberculosis of scapula; case report and review of literature
title_fullStr Isolated cystic tuberculosis of scapula; case report and review of literature
title_full_unstemmed Isolated cystic tuberculosis of scapula; case report and review of literature
title_short Isolated cystic tuberculosis of scapula; case report and review of literature
title_sort isolated cystic tuberculosis of scapula; case report and review of literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2959054/
https://www.ncbi.nlm.nih.gov/pubmed/20932322
http://dx.doi.org/10.1186/1749-799X-5-72
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