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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Tuberculous arthropathy | Radiology Reference Article |

Extra-articular osseous involvement was seen in the proximal femur, greater and lesser trochanter, ilium, ischium and body of the cooxitis Table II. The presence of apparent shortening or true shortening separated early arthritis and arthritis [ Table 1 ].

Babhulkar S, Pande S. Further, a fixed hip in nonanatomical position puts the other hip, spine and knee in mechanical disadvantages with resulting consequences. Tuberculous coxitis, TBC, tuberculosis. For example, with anterolateral approach to the joint, one can correct the flexion deformity of the hip.

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

Analysis of joint aspirate may help in excluding some of the other causes of painful hip in children like septic arthritis, transient synovitis, hemarthrosis, etc.

Indian J Radiol Imaging. Tuberculosis of the hip. Common clinical features were a limp, flexion, adduction and internal rotation contractures. In the ‘mortar-and-pestle’ type, the head of the femur becomes ground down progressively, resembling a pestle within a mortar. Tuberculosis of the hip joint in children has a less destructive presentation than was seen in the past.


Please, refer to the main article on tuberculosis for a general and broad discussion of this condition. Sonography of hip joint in infective arthritis. Sequestra are also seen in osteoarticular tuberculosis. MRI may show synovial effusion, osseous edema and areas of bone destruction. Many present in the advanced stage of the disease due to delayed diagnosis. Clinical and radiological data were collected from case records. Microbiological and microscopic examination of intraoperative swabs and surface biopsies did not detect M.

A MRI of the pelvis performed 3 months before admittance showed a swelling of the capsule and reduction of the cartilage in the right hip joint which was considered as an early arthritis or coxitis. Nil Conflict of Interest: Other authors believe that surgical debridement and drainage is necessary. The treatment of osteoarticular tuberculosis includes anti-tuberculosis drugs.

Tuberculosis of hip: A current concept review

There is a restriction essentially of terminal range of movements. Varisation osteotomy in subluxated hip as sequella of healed tuberculosis in children. CT can establish the degree of bone destruction or rarely sequestrum.

Similarly in Wang et al. Shanmugasundaram’s classification of tuberculosis of the hip joint was used to classify the different radiological patterns of tuberculosis of the hip into seven types 13 Figure 1.

A vigorous passive exercise may produce further pain and spasm and should be avoided. Osteoarticular lesions mimicked coxitls bone and joint conditions. It is wise to leave the posterior capsule undisturbed because it carries vital blood supply to the femoral head. Babhulkar and Pande 9 introduced a classification, based on above clinicoradiological presentations into stage of synovitis, early arthritis, stage of arthritis and stage of advanced arthritis.


Gross deformities and shortening are another problems to tackle. Subluxed hips did well following reduction. Total hip replacement THR in the active stage of the disease is yet another area of cxitis. Posterior capsule is generally not shortened as most of the patients have flexion deformity.

Excision arthroplasty for tuberculous and pyogenic arthritis of the hip. National Center for Biotechnology InformationU. Radiol Clin N Am ; From conservative therapy in the form of ATT and traction to debridement and joint replacement, a variety of surgical procedures have been described.

All authors read and approved the final manuscript. Synovectomy and joint debridement are done with an aim to reduce the disease tissue load and ascertain diagnosis.

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

The prognosis is poor. Synovial voxitis may give conclusive diagnosis where clinical diagnosis is equivocal. Surgical treatment of tuberculosis of the hip in children. The management in advanced joint destruction, wandering acetabulum or with pathological subluxation and dislocation is difficult and controversial.