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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Total hip arthroplasty THA in the hip with active tuberculous infection yb a controversial issue due to the potential risk of reactivation of TB. Edit article Share article View revision history.

Please review our privacy policy. X-ray left hip anteroposterior view showing a old healed tubercular arthritis hip with dislocation.

Tuberculosis of the hip and knee treated by chemotherapy, synovectomy and debridement: Irregular and hazy joint margins with diminished joint space on left side. Cited by Google Similars in Google. Total hip replacement in active advanced tuberculous arthritis.

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

Six weeks after surgery, continuing physiotherapy and oral double combination, the patient was almost free of pain and ROM was improved. Five children had computerised tomography scans to define ttb bone lesions within the hip. Tuberculous coxitis, TBC, tuberculosis. Leowski J, Miller M. The end result after the procedure is usually a healed disease with shortening of limb and moderate to gross restriction of movements.

Arch Orthop Trauma Surg. Histological proof may not be necessary in all the cases in the endemic zones for TB. With progression, medial displacement of the floor occurs with pressure of the femoral head. Extra-articular osseous involvement was seen in the coxitus femur, greater and lesser trochanter, ilium, ischium and body of the pubis Table II.


Synovial involvement alone will show a very good result with chemotherapy and functional exercises. After a course of antibiotic treatment she underwent reconstructive surgery which consecutively improved range of motion. The albumen was low in eight patients. The early diagnosis could be difficult as the primary clinical symptoms and radiological findings at an early stage are often non-specific [ 5 ].

Other lesions seen included the infiltrative permeativefusiform, punched-out erosions and pathologic fractures. Support Center Support Center. 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.

In children, we should try to preserve the viable bone as much as possible. J Jpn J Infect Dis. This consisted of isoniazide, rifampicin, pyrazinamide and pyridoxine.

Please, refer to the main article on tuberculosis for a general and broad discussion of this condition.

Tuberculosis of hip: A current concept review

In the ‘normal’ type, the disease mainly involved the synovium. Short-course chemotherapy for extrapulmonary tuberculosis. The hip movements are painful and grossly restricted with coxiris of the limb. The differentiation from rheumatoid arthritis and idiopathic chondrolysis is difficult.

Tuberculosis of hip: A current concept review

Eight ‘normal hips’ with a good outcome were seen in this study. Two cases were seen in this study with a fair outcome. J Bone and Joint Surg coxiis 8: It is a sensitive test to detect soft tissue abnormalities in and around the joint.

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. Through the hematogenous route, the bacteria reach either to synovium or bone.

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He described seven morphological types Figure I based on the destructive pattern for all ages. The outcome of tuberculosis of the hip in children depends on the extent of the disease. Current Concept in Bone and Joint Tuberculosis. Excision arthroplasty for tuberculous and pyogenic arthritis of the hip. Hip replacement In tubercular arthritis, as acetabulum is coxiti, there is no role of hemi replacement.

J Child Orthop ; 4: Journal List Indian J Orthop v. Consequently, the patient must have had an exposure to M. There is always some residual deformity with late presentation. Further, a fixed hip in nonanatomical position puts the other hip, spine and knee in mechanical disadvantages with resulting consequences.

Excision arthroplasty for tuberculous and pyogenic arthritis of the hip.

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

J Bone Joint Surg ; 44A: An eight to year followup. The other investigations like complete blood count, erythrocyte sedimentation rate, C-reactive protein, Mantoux test are either supportive or to exclude pyogenic and other types of arthritis.

They were more commonly described in the study by Vohra et al.

Vora 23 cautioned that cxoitis synovectomy, utmost attention should be given to safeguard the feeding vessels to the head, located beneath the hypertrophied synovium.

Articular cartilage was denuded at surgical exploration. Shanmugasundaram proposed a radiological classification for tuberculosis of the hip joint.

The constitutional symptoms may or may not be present in all the cases.