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Tuberculous Osteomyelitis of the Metatarsals by Sagar Narang JBJS Case Connect Volume 2(3):e40 August 22, 2012 ©2012 by The Journal of Bone and Joint Surgery,

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Presentation on theme: "Tuberculous Osteomyelitis of the Metatarsals by Sagar Narang JBJS Case Connect Volume 2(3):e40 August 22, 2012 ©2012 by The Journal of Bone and Joint Surgery,"— Presentation transcript:

1 Tuberculous Osteomyelitis of the Metatarsals by Sagar Narang JBJS Case Connect Volume 2(3):e40 August 22, 2012 ©2012 by The Journal of Bone and Joint Surgery, Inc.

2 Fig. 1 Multiple discharging sinuses and ulcers located on the lateral border of the right foot are evident (Case 1). Sagar Narang JBJS Case Connect 2012;2:e40 ©2012 by The Journal of Bone and Joint Surgery, Inc.

3 Fig. 2 An anteroposterior radiograph of the foot demonstrates multiple small lucencies (cloacae) located in the head, neck, and shaft of the fifth metatarsal (Case 1). Sagar Narang JBJS Case Connect 2012;2:e40 ©2012 by The Journal of Bone and Joint Surgery, Inc.

4 A single sinus in the first intermetatarsal space of the right foot is evident. Sagar Narang JBJS Case Connect 2012;2:e40 ©2012 by The Journal of Bone and Joint Surgery, Inc.

5 An anteroposterior radiograph of the foot demonstrates a “large” sequestrum occupying an eccentric cavity in the neck of the first metatarsal. Sagar Narang JBJS Case Connect 2012;2:e40 ©2012 by The Journal of Bone and Joint Surgery, Inc.

6 An anteroposterior radiograph of the foot after six months of antitubercular chemotherapy. Sagar Narang JBJS Case Connect 2012;2:e40 ©2012 by The Journal of Bone and Joint Surgery, Inc.


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