[Bony tuberculosis of the thumb revealed by a trauma]

Tuberculous dactylis is uncommun which is difficult to differentiate from tumorous and metabolic affections. The histological studie constitutes a reliable and easy element to achieve for the positive diagnosis especially as the biologic studie can be negative. We report the case of a 43 year old woman who consulted for a post traumatic painful inch of the right hand. The x-ray of the hand visualized a fracture of the first phalanx of the inch with a lyse bony. Pathology examination of a biopsy specimen reveled granulomatous with caseous necrosis specific of tuberculous. The clinical signs and radiographs resolved after anti tuberculosis treatment for 12 months

Position de la rotule dans le genou normal

The situation of the Knee cap has been measured by the "INSHALL SALVATI" method in a group of 126 normal, Knees and in a group of 26 pathologic Knees it appeared that the relationship between the length of the patellar ligament and the one of the index Knee cap of "INSHALL SALVATI" is about 0,99 in the group of normal Knees. This index is bigger to woman than to man. In the group of pathologic Knees, the Knee cap is higher than is the witnen group with a considerable difference