PDF | Although the prevalence of tuberculosis reduces, it still belongs to the most important infectious diseases worldwide even in industrial. Tuberculosis of the hip joint region in children. MAF MohideenI; MN RasoolII. I MBChB(Medunsa). Registrar. Nelson Mandela School of Medicine, University of . In particular, trochanteric bursitis is an extremely rare manifestation of osteoarticular tuberculosis. We describe a case of tuberculous coxitis.
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Any pathological joint lesion where the exact diagnosis is equivocal should be considered tubercular in origin unless proven otherwise. Please, refer to the main article on tuberculosis for a general and broad discussion of this condition. Although rare in western countries, tuberculous arthropathy is still a common problem in developing countries. The tubercular arthropathy is never a primary lesion it is always a sequela of pulmonary or lymph node tuberculosis.
It can occur at any age. There is no sex predilection for the disease. The primary causative organism is mycobacterium tuberculosishowever atypical mycobacteria i. The organism reaches the bone and remains dormant until recrudescence occurs. Any factor which modifies the state of local resistance and resultant activation of dormant tubercle bacilli, microtrauma has been proposed as a mechanism, however no case could it be established that trauma was an etiological factor.
The most common form of articular tuberculosis is spondylitis followed by arthritis of weight ocxitis joints especially knee and hip 6. Tubercular arthropathy can affect any joint but frequently reported in knee, ankle, sacroiliac joint, sternaoclavicular joint, shoulder, elbow and wrist. Tubercular arthropathy is usually monoarticular.
Several variants of TB in the shoulder have been described and are discussed separately in the article shoulder tubercular arthropathy. Plain films are t to detect and follow up of treatment for tubercular arthropathy.
A triad of radiologic abnormalities Phemister’s triad include:. CT can establish the degree of bone destruction or rarely sequestrum. Extension of infection in surroundings or any sinus tract formation can also be demonstrated on the post-contrast scan.
[Coxitis due to multidrug resistant Mycobacterium tuberculosis in a HIV negative patient].
MRI can assess associated abnormalities e. Complete course of chemotherapy is the most important therapeutic approach.
In advanced cases surgical treatment can be indicated if the deformity is limiting. Differential diagnosis of tubercular arthropathy may include causes of erosive arthritis, monoarticular arthropathy and arthropathies resulting in ankylosis and joint destruction such as:.
You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Unable to process the form. Check for errors and try again. Thank you for updating your details. Log in Sign up. Articles Cases Courses Quiz. About Blog Go ad-free. Chronic slowly progressive monoarthritis tuberculosis of the hip without systemic symptoms mimicking osteoarthritis: Imaging features of extraaxial musculoskeletal tuberculosis.
Indian J Radiol Imaging. Indian J Radiol Imaging full text – doi: Rheumatoid arthritis and tuberculous arthritis: Diagnosis and treatment of joint tuberculosis. Free text at pubmed – Pubmed citation 6. Approach to septic arthritis.
Tuberculosis of the hip joint region in children
Edit article Share article View revision history. Synonyms or Alternate Spellings: Joint tuberculosis TB of joints Tubercular arthropathy Tubercular arthritis Tuberculosis affecting the joints Tuberculosis septic arthritis Tuberculosis arthritis.
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