Tuberculosis of calcaneum: a case series and review of literature

Authors

  • Anurag Tiwari Department of Orthopaedics, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh
  • Nishit Bhatnagar Department of Orthopaedics, Maulana Azad Medical College, New Delhi
  • Yugal Karkhur Department of Orthopaedics, Maulana Azad Medical College, New Delhi
  • Ammar Aslam Department of Orthopaedics, Jamia Hamdrad University, New Delhi
  • Amit Sharma Department of Orthopaedics, Maulana Azad Medical College, New Delhi
  • Dhananjaya Sabat Department of Orthopaedics, Maulana Azad Medical College, New Delhi

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20172078

Keywords:

Tuberculosis, Osteomyelitis, Calcaneum, Isolated

Abstract

Background: The purpose of this study was to review the cases of isolated tuberculous osteomyelitis of calcaneum in terms of clinical features, radiological features, treatment and outcome.

Methods: Medical records of 9 patients (7 males and 2 females) aged 4 to 45 years (mean 21.33 years) who presented with isolated calcaneal tuberculous osteomyelitis were reviewed. Clinical features, laboratory tests result, findings of imaging modalities, and histopathological examination were noted. The location of involvement of tuberculosis and treatment offered were noted. Multifocal tuberculosis and articular involvement were excluded.

Results: All patients presented with pain and swelling around the heel; three of them presented with a discharging sinus. Patients had involvement of calcaneal body (n=5), tuberosity (n=2), and anterior process (n=2). The erythrocyte sedimentation rate of all patients was elevated. All the patients were treated conservatively with immobilization and chemotherapy.

Conclusions: Isolated calcaneal tuberculosis is rare and the prognosis with non-operative treatment is good.

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Published

2017-06-23

Issue

Vol. 3 No. 4 (2017): July-August 2017

Section

Original Research Articles