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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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Tuberculosis TB of the hip is second to spine only hence a good number of cases are visiting the medical facilities every year.

However, in the present day scenario, we recommend weight-bearing earlier, whenever patient can tolerate the pain. Extra-articular osseous involvement was seen in the proximal femur, greater and lesser trochanter, ilium, ischium and body of the pubis Table II. Coxigis patients had histological features consistent with tuberculosis granulation, caseous necrosis and giant cells. Nonweight bearing range of motion exercises are started whenever patient is able to co-operate.

Less commonly seen were infiltrative permeative lesions resembling chronic osteomyelitis. In the ‘dislocating’ type, the head dislocates posteriorly, or subluxes due to laxity of ligaments and cooxitis distension.

Local exacerbation is observed in cases with insufficient systemic treatment, whereas in most of the cases the results referring to ROM and pain-reduction are satisfactory. Clin Orthop Relat Res ; It has a poor prognosis.


Can Assoc Radiol J. 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.

Furthermore a second aspiration of the right hip joint confirmed M. 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. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.

Blood samples were normal except slightly increased CRP of 4. Imaging features of extraaxial musculoskeletal tuberculosis.

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

The primary causative organism is mycobacterium tuberculosishowever atypical mycobacteria i. Surgical treatment of tuberculosis of the hip in children. It can occur at any age.

The hip is subluxated posteriorly and superiorly with true shortening of the involved limb. Demographic characteristics of patients with extrapulmonary tuberculosis in Germany.

The shortcomings of excision arthroplasty like shortening of coxltis limb and instability of hip joint can be minimized to some extent by prolonged skeletal traction upto 3 months with on traction exercises in bed.

Tuberculosis of hip: A current concept review

Footnotes Source of Support: J Bone Joint Surg ; 8: An argument against Girdlestone resection or arthrodesis was the improvement of ROM as well as the reduction of pain supported by a regular performed physiotherapy during the period before operative intervention.


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. Of the 29 with osteoarticular involvement, six had purely synovial involvement.

Tuberculosis of the hip joint in children has a less destructive presentation than was seen in the past. In our case the initial radiographic findings, MRI and standard blood samples were unspecific.

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

World Health Organization, Geneva, Switzerland. Investigations It is suggested that in the endemic regions for TB, a clinical diagnosis supported by radiographs is adequate for starting the treatment. Campbell and Hoffman 16 observed relationship between radiological type and results with treatment.

Thorough debridement of infected tissues and coxitie antituberculous therapy are the keys to lowering the potential risk of reactivation of TB. Please review our privacy policy.