eur res j The European Research Journal 2149-3189 Prusa Medical Publishing 10.18621/eurj.387051 Health Care Administration Sağlık Kurumları Yönetimi Isolated scapular tuberculosis: an uncommon presentation of skeletal tuberculosis Dev Ghanshyam Department of Radiodiagnosis, Government Medical College, Jammu Sharma Shwait Department of Radiodiagnosis, Government Medical College, Jammu https://orcid.org/0000-0003-2030-8734 Ilyas Mohd Department of Radiodiagnosis, Sher-i-Kashmir Institute of Medical Sciences, Srinagar 10 04 2018 4 4 289 293 01 31 2018 02 23 2018 Copyright © 2015, The European Research Journal 2015 The European Research Journal

Objective: The main objective of the study was to evaluate theradiological manifestations of isolated scapular tuberculosis. Methods:A prospective study was performed wherein 50 patients with the complaint ofswelling in the scapular region were evaluated using various imaging modalitiesfor scapular tuberculosis. Patients having features of scapular tuberculosiswere subjected to fine needle aspirationcytology (FNAC) andhistopathology for confirmation of diagnosis. Results: Four patientswere diagnosed as having isolated scapular tuberculosis. All the four patientspresented with lytic lesions in scapula with associated collections in adjacentmuscles. All were subjected to anti-tuberculosistherapy (ATT). In twopatients drainage of abscess was done. All patients showed excellent response totreatment at 6 months follow-up. Conclusion: Radiologicalinvestigations play a key role in early diagnosis of isolated scapulartuberculosis with excellent outcome with ATT and drainage of collection.

 Tuberculosis lytic lesion scapula anti-tuberculosis therapy musculoskeletal infections [1] Alvarez de Sierra Garcia B, Exposito Jimenez D, Bueno Horcajadas A, Olmedilla P, Sanz-Merino A, Martel Villagran J. Radiologic assessment of scapular region: US, MDCT and MR features. ECR 2012: C-1080, Madrid, Spain. [2] Singh A, Chatterjee P, Pai MC, Chacko RT. Tuberculous osteomyelitis of the scapula masquerading as metastasis. J Radiol Case 2009;3:27-31. [3] Mohan V, Danielsson L, Hosni G, Gupta RP. A case of tuberculosis of the scapula. Acta Orthop Scand 1991;62:79-80. [4] Arriaza BT, Salo W, Aufderheide AC, Holcomb TA. Pre-Columbian tuberculosis in northern Chile: molecular and skeletal evidence. Am J Phys Anthropol 1995;98:37-45. [5] Tuli SM. Tuberculosis of the Skeletal System (bones, joints, spine and bursal sheaths). 1st edn. Jaypee Brothers Medical Publishers (P) Ltd: New Delhi (India), 1993., p.121. [6] Tsay MH, Chen MC, Jaung GY, Pang KK, Chen BF. Atypical skeletal tuberculosis mimicking tumor metastasis: report of a case. J Formos Med Assoc 1995; 94:428-31. [7] Balaji G, Arockiaraj J, Roy AC, Ashok A. Isolated tubercular osteomyelitis of scapula – A report of two cases and review of literature. J Orthop Case Rep 2013;3:7-11. [8] Teo HE, Peh WC. Skeletal tuberculosis in children. Pediatr Radiol 2004;34:853-60. [9] Martini M, Adjrad A, Boudjemaa A. Tuberculous osteomyelitis. A review of 125 cases. Int Orthop 1986;10:201-7. [10] Khan SA, Zahid M, Sharma B, Hasan AS. Tuberculosis of frontal bone: a case report. Indian J Tub 2001;48:95-6. [11] Tripathy SK, Sen RK, Sharma A, Tamuk T. Isolated cystic tuberculosis of scapula: case report and review of literature. J Orthop Surg Res 2010;5:72. [12] Kam WL, Leung YF, Chung OM, Wai YL. Tuberculous osteomyelitis of the scapula. Int Orthop 2000;24:301-2.