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Multiple Choice

Spina ventosa refers to tuberculous infection of the bones of the hands or feet, most commonly the digits. This condition is also known as:

Spina ventosa is the tuberculous infection of the short tubular bones of the hands and feet in children, presenting as dactylitis. The best label for this condition is TB dactylitis because “dactylitis” means inflammation of a digit, and tuberculous involvement of the digits classically produces expansion of the bone’s medullary cavity with thinning of the cortex—the hallmark radiographic feature of this disease. This pattern helps distinguish it from TB osteomyelitis of the phalanges, which lacks the characteristic medullary expansion; TB arthritis of the metacarpophalangeal joints, which centers on joint involvement; and TB spondylodiscitis, which affects the spine.

Spina ventosa is the tuberculous infection of the short tubular bones of the hands and feet in children, presenting as dactylitis. The best label for this condition is TB dactylitis because “dactylitis” means inflammation of a digit, and tuberculous involvement of the digits classically produces expansion of the bone’s medullary cavity with thinning of the cortex—the hallmark radiographic feature of this disease. This pattern helps distinguish it from TB osteomyelitis of the phalanges, which lacks the characteristic medullary expansion; TB arthritis of the metacarpophalangeal joints, which centers on joint involvement; and TB spondylodiscitis, which affects the spine.