RADIOLOGICAL BONE CHANGES IN HANSEN’S DISEASE WITH DISABILITIES/DEFORMITIES OF HANDS AND FEET: A CLINICO-RADIOLOGICAL CORRELATION
DOI:
https://doi.org/10.22159/ijcpr.2025v17i4.6070Keywords:
Disability index, Deformity, Radiological changes, Osteoporosis, Hansen diseaseAbstract
Objective: To study radiological bone changes in patients of Hansen's disease with deformities of hands and feet and correlate findings with clinical parameters.
Methods: Fifty leprosy patients underwent physical and radiological examination. Disability and deformities were graded as per WHO recommendations. Disability Index (DI) was calculated using.
Bone changes were categorized as specific, non-specific, and osteoporotic. Data were correlated with clinical variables.
Results: Radiological bone changes were present in 88% of cases. Specific changes were seen in 34% (e. g., subarticular erosion), non-specific in 82% (e. g., terminal phalanx absorption), and osteoporotic changes in 34% (mainly minimal osteoporosis). Significant correlation was found between non-specific and osteoporotic changes with increasing duration of disease, deformity, and DI.
Conclusion: Radiological bone changes are prevalent in Hansen’s disease, especially in patients with longer disease duration and higher DI. Specific changes showed no significant correlation with clinical variables, while non-specific and osteoporotic changes correlated with disease progression and disability.
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