Abstract
Musculoskeletal system is involved in about 20% of the patients diagnosed with tuberculosis.
Although musculoskeletal tuberculosis generally affects spine and large joints (hip
and knee), hand involvement of the tuberculosis is seen in 10% of the patients with
musculoskeletal involvement and also isolated tuberculosis of hand or wrist is much
rarer.
In the following report, we discuss the case of a 23-year-old male patient who was
diagnosed with isolated tuberculosis of the capitate and triquetrum bone. The patient
presented with a nonhealing sinus on the left wrist joint. Imaging revealed lytic
lesions of the capitate and triquetrum. The diagnosis of tuberculosis was confirmed
by histopathological examination on the bone specimen obtained from the debridement
and curettage. Antituberculosis therapy was started postoperatively and 1 month later,
healing of the sinus was observed. There was no sign of reactivation seen at follow-up
22 months after treatment.
Keywords
tuberculosis - wrist - capitatum - triquetrum
