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

<p>Abstract</p> <p>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 multi...

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Main Authors: Sharma Anurag, Sen Ramesh K, Tripathy Sujit K, Tamuk Tajir
Format: Article
Language:English
Published: BMC 2010-10-01
Series:Journal of Orthopaedic Surgery and Research
Online Access:http://www.josr-online.com/content/5/1/72
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author Sharma Anurag
Sen Ramesh K
Tripathy Sujit K
Tamuk Tajir
author_facet Sharma Anurag
Sen Ramesh K
Tripathy Sujit K
Tamuk Tajir
author_sort Sharma Anurag
collection DOAJ
description <p>Abstract</p> <p>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.</p>
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spelling doaj.art-ffa6b25fdf4148aaa86c55ed80f2bfaa2022-12-22T03:59:11ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2010-10-01517210.1186/1749-799X-5-72Isolated cystic tuberculosis of scapula; case report and review of literatureSharma AnuragSen Ramesh KTripathy Sujit KTamuk Tajir<p>Abstract</p> <p>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.</p>http://www.josr-online.com/content/5/1/72
spellingShingle Sharma Anurag
Sen Ramesh K
Tripathy Sujit K
Tamuk Tajir
Isolated cystic tuberculosis of scapula; case report and review of literature
Journal of Orthopaedic Surgery and Research
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
url http://www.josr-online.com/content/5/1/72
work_keys_str_mv AT sharmaanurag isolatedcystictuberculosisofscapulacasereportandreviewofliterature
AT senrameshk isolatedcystictuberculosisofscapulacasereportandreviewofliterature
AT tripathysujitk isolatedcystictuberculosisofscapulacasereportandreviewofliterature
AT tamuktajir isolatedcystictuberculosisofscapulacasereportandreviewofliterature