Tubercular dactylitis of left middle finger: A case report

Tuberculous dactylitis is a rare condition. It usually involves bones of hands and feet, predominantly seen in children. The condition characterized by cystic expansion the bone due to filing medullary cavity with granulation tissue leading formation pus thinning cortex. term spina ventosa used describe this radiologically. We report case tuberculous left middle finger 15 yrs. old female patient who presented complaints swelling at phalanx finger. Swelling had an insidious onset gradually progressed size over period 3 months. Patient gave history unexplained weight loss since 1 month. Plain x-ray hand showed lytic lesion MRI was done which altered marrow intensity changes erosions 3rd digit periosseous synovial enhancing thickening flexor digitorum tenosynovitis-likely infective etiology-suggestive tuberculosis hence treated curettage, allograft stabilization JESS (Joshi’s external stabilizing system).