In particular, trochanteric bursitis is an extremely rare manifestation of osteoarticular tuberculosis. We describe a case of tuberculous coxitis. Tuberculosis of the hip joint region in children. MAF MohideenI; MN RasoolII. I MBChB(Medunsa). Registrar. Nelson Mandela School of Medicine, University of . PubMed journal article [Tuberculous coxitis in the hips 55 years after primary tuberculosis were found in PRIME PubMed. Download Prime PubMed App to.
|Country:||Turks & Caicos Islands|
|Published (Last):||4 September 2009|
|PDF File Size:||13.40 Mb|
|ePub File Size:||19.66 Mb|
|Price:||Free* [*Free Regsitration Required]|
Tuberculosis belongs to the most important tuberculosiw diseases worldwide. Surg Gyne Obstet ; The osseous lesions in this study were mainly metaphyseal appearing as cystic, permeative and focal erosions in the cancellous portions of the femoral head, neck and acetabulum.
Tuberculous arthropathy | Radiology Reference Article |
It is a sensitive test to detect tuerculosis tissue abnormalities in and around the joint. Tuberculosis of the xoxitis in children has variable radiological manifestations. A preliminary report of twenty cases of hip joint tuberculosis treated by an operation devised to eliminate motion by fusing the joint. An effusion was tuberculosix by ultrasound, aspiration of the hip joint led to no further diagnosis as aerobic and anaerobic cultures were sterile.
Synovitis and early arthritis are treated by nonoperative measures. Cementless total replacement for old tuberculosis of the hip. We suggest that treatment options offered to the patients should depend on the stage of involvement and must be discussed thoroughly with the patient, despite the stage of involvement before decision is taken.
This procedure provides a mobile, painless hip joint with control of infection and correction of deformity.
Tuberculous coxitis: diagnostic problems and varieties of treatment: a case report.
Joint tuberculosis TB of joints Tubercular arthropathy Tubercular arthritis Tuberculosis affecting tiberculosis joints Tuberculosis septic arthritis Tuberculosis arthritis. A comparison of radiography, computed tomography and magnetic resonance imaging.
MRI may show synovial effusion, osseous edema and areas of bone destruction. The prognosis after chemotherapy, traction, rest and mobilization exercises is very good in this stage and the surgical interventions usually are not required.
Antituberculosis treatment was used for a year. Antitubercular treatment continued postoperatively between 6 and 15 months.
Caused by recently aggravation of pain in the right hip joint within the days before, the patient was not able to stand and walk and the range of motion ROM was painfully reduced. In case of tuberculous coxitis TBC a prior pulmonary infection causes the affection of the joint by haematogenous spread. Arthrolysis aims to achieve the useful range of movements in the cases with gross limitation of movements not responding to traction and exercises.
Charnley low friction arthroplasty in tuberculosis of the hip. Imaging features of extraaxial musculoskeletal tuberculosis. There is gross destruction of capsule, synovium, bones and articular cartilage. Babhulkar S, Pande S. A vigorous passive exercise may produce further pain and spasm and should be avoided. There is coxitiis restriction essentially of terminal range of movements. The Mantoux test was negative in six children. An extra articular lesion can also progress further to involve the joint.
Synovial biopsy may give conclusive diagnosis where clinical diagnosis is equivocal.
This consisted of isoniazide, rifampicin, pyrazinamide and pyridoxine. Instead, a stabilization procedure can be done to provide stability.
Management in children The aim of management is to have a painless, mobile hip with anatomy of the hip joint as near to normal as possible. Total hip arthroplasty in the treatment of adult hips with current or quiescent sepsis. The patient underwent reconstructive surgery by extirpation of the granuloma from the acetabulum and augmentation with autologous spongiosaplasty from the ipsilateral iliac crest. World Health Organization, Geneva, Switzerland. On the other hand there is a worldwide threat of an untreatable epidemic of multidrug resistant TB with the global explosion of HIV and irrational treatment in some parts of the world.
Some other hip conditions presenting with pain and limp are transient synovitis of the hip, Legg—Calve—Perthes disease, osteomyelitis of the upper end of the femur, injury hip, acute infective arthritis of infancy and childhood, osteoid osteoma of the neck of the femur with synovial involvement, villonodular synovitis, rheumatoid arthritis, AVN of the head of the femur, giant cell variants of upper femur, etc.
Tuberculous Coxitis: Diagnostic Problems and Varieties of Treatment: A Case Report
However it is at the cost of loss of movements. Tuberculosis of the hip. A diagnostic approach to tuberculosis of bones and joints. J Bone Joint Surg ; 64B: Int J Tuberc Lung Dis.