Question:

Which part of the bone is typically involved in tuberculosis:
1. Epiphysis
2. Metaphysis
3. Diaphysis
4. All of the above
5. None of the above





Answer:

The correct answer for the question "Which part of the bone is typically involved in tuberculosis:" is:

2. Metaphysis



Explanation

The metaphysis is typically involved, although epiphyseal involvement also occurs



From the manuscript:
Tuberculous osteomyelitis of the scapula masquerading as metastasis
Radiology Case. 2009 Jan; 3(1):27-31


This article belongs to the MSK section.




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From the manuscript

Tuberculous osteomyelitis of the scapula masquerading as metastasis

Free full text article: Tuberculous osteomyelitis of the scapula masquerading as metastasis

Abstract
Tuberculosis (TB) of the scapula is an unusual presentation of musculoskeletal tuberculosis. In an endemic area, this rare presentation may become more frequent. The indolent nature of tuberculous bone and joint disease often leads to delayed or missed diagnosis. It is not uncommon for this disease to mimic malignancy. Therefore, the prompt recognition of distinguishing features is vital for correct diagnosis. In particular, imaging is a key tool in helping to make the diagnosis, through the recognition of certain key radiological patterns. However, as there are no pathognomonic imaging findings, the diagnosis rests on histopathological and microbiological confirmation. We report a case of tuberculous osteomyelitis of the scapula. This entity has not received much attention in literature. Pure tuberculous osteomyelitis involving flat membranous bone, as depicted in this report, is rare. Our patient also had an ovarian malignancy, which had decreased our index of suspicion. We therefore present this case as tuberculosis masquerading a cystic scapular metastases.






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