Ximi Elga


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.

Author: Mikasida Bakasa
Country: Syria
Language: English (Spanish)
Genre: Career
Published (Last): 18 March 2011
Pages: 230
PDF File Size: 14.18 Mb
ePub File Size: 8.73 Mb
ISBN: 968-4-95339-112-9
Downloads: 29814
Price: Free* [*Free Regsitration Required]
Uploader: Kigasar

Common clinical features were a limp, flexion, adduction and internal rotation contractures.

Tuberculosis of hip: A current concept review

Tuberculous osteomyelitis in young children. Current Concepts in Bone and Joint Tuberculosis. In the treatment, current emphasis is more on mobility with stability at hip.

Seven children had extra-articular lesions. It hb Perthes’ disease and is probably due to embolic episodes. The early diagnosis could be difficult as the primary clinical symptoms and radiological findings at an early stage are often non-specific [ cositis ]. To describe the clinical and radiological manifestations of tuberculosis of the hip joint and the resemblance to common osteoarticular lesions in children.

A clinicoradiological classification of tuberculosis of the hip. In the ‘dislocating’ type, the head dislocates posteriorly, or subluxes due to laxity of ligaments and capsular distension. This case report emphasizes that tuberculosis should still be considered as a significant disease even in healthy patients with uncertain complaints in joints without doxitis initial radiographic abnormalities.

The granulation tissue from the synovium extends over the bone resulting in necrosis of sub chondral bone, sequetra and may be kissing lesion on either side of joint. A CT without any proof of lymphadenopathy and pulmonary infiltration coxihis not confirm this suspicion.

  A080SN01 V7 PDF

The prognosis is poor. Synovitis stage To establish the diagnosis the patient should be subjected to USG examination; synovial effusion can be aspirated and subjected for cytology, AFB smear and PCR examination. J Bone Joint Surg ; 63B: Common radiological features were osteopaenia and cystic lesions in the neck and acetabulum.

If warranted, limb lengthening can be done to take care of limb shortening.

[Coxitis due to multidrug resistant Mycobacterium tuberculosis in a HIV negative patient].

After seven months the microbiological examination of gastric secretion and sputum analysis did not detect open lung tuberculosis, so the oral therapy was reduced to double combination with Isoniazid and Rifampicin.

Tuberculosis of the hip in children: Advanced arthritis The clinicoradiological presentation is typical of tubercular xoxitis in this stage. Considering the different kinds of surgical techniques and preoperative oral antituberculotic therapies, the decision for a concept of treatment is influenced by several factors as the individual situation of the patient, the compliance, ROM and the initial destruction of the joint.

Int J Tuberc Lung Dis. Surgical treatment of tuberculosis of the hip in children. With a mean followup of 4. Table 1 Clinicoradiological classification of tuberculosis of the hip.

J Bone Joint Surg ; 44A: Early diagnosis can be difficult as the primary clinical symptoms at an early stage as well as radiological findings are often non-specific [ 5 ]. Tuberculosis of the hip: When presenting late, there are permanent changes in the joint with varying disability and there is a dilemma of dealing with this morbid anatomical and pathological changes in the joint. However, some degree of shortening and instability is unavoidable.

Tuberculosis of the hip joint region in children

It can also take care of deformities. In the case of the abduction deformity, traction on the other limb is also applied to stabilize cositis pelvis. Management of tuberculosis of the hip joint. Complete course of chemotherapy is the most important therapeutic approach. European and worldwide perspectives.


[Coxitis due to multidrug resistant Mycobacterium tuberculosis in a HIV negative patient].

After surgery, skeletal traction is applied, and movements of the hip are allowed under supervision as soon as patient is able to do. The attitude of the limb and deformity does not always correspond with the stage of arthritis. Immediate cementless total hip arthroplasty for the treatment of active tuberculosis.

Phemister, in a detailed pathological study, found that primary bone involvement in children was usually metaphyseal due to embolism and infarction in metaphyseal end arteries. We prefer the traction, since assisted movements of the hip joint can be started earlier. Support Center Support Center. With the help of the stick, all are able to stand on the operated extremity and able to climb up the stairs. Instead, a stabilization procedure can be done to provide stability.

Arch Orthop Trauma Surg.

Radiological tests done included routine hip X-ray, chest X-ray and a bone scan. We saw five cases in which the prognosis was fair.

Irregular and hazy joint margins with diminished joint ccoxitis on left side. Many authors suggest that medical treatment alone is enough. This consisted of isoniazide, rifampicin, pyrazinamide and pyridoxine. Indian J Radiol Imaging. Treatment of quiescent tuberculosis of the hip joint by excision and ‘dynamic’ osteotomy. Babhulkar S, Pande S.

Tuberculosis of the bones and joints ; Springer-Verlag, Berlin Heidelberg.