In particular, trochanteric bursitis is an extremely rare manifestation of osteoarticular tuberculosis. We describe a case of tuberculous coxitis. Tuberculosis of the hip joint region in children. MAF MohideenI; MN RasoolII. I MBChB(Medunsa). Registrar. Nelson Mandela School of Medicine, University of . PubMed journal article [Tuberculous coxitis in the hips 55 years after primary tuberculosis were found in PRIME PubMed. Download Prime PubMed App to.

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Eight ‘normal hips’ with a good outcome were seen in this study. This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3. Int J Tuberc Lung Dis. Furthermore the preoperative response to oral antituberculotic therapy as well as persistent histological evidence of active disease are important aspects for choosing the suitable surgical technique for operative treatment.

An effusion was detected by ultrasound, aspiration of the hip joint led to no further diagnosis as aerobic and anaerobic cultures were sterile. Joint debridement, skeletal traction, and mobilization exercises may give more satisfying results as compared to the immobilization by hip spica. Cementless total hip arthroplasty for the management of tuberculosis coxitis. Tuberculosis of the hip. Indian J Radiol Imaging full text – doi: An evaluation of efficacy and precision. Unlike pyogenic infections, proteolytic enzymes are not produced in tubercular infection; articular cartilage survives for a long time thus preserving mobility in many patients.

In addition to medical treatment, traction preferably skeletal is recommended to all patients. Jaypee Brothers Medical Publishers Pvt.

Tuberculosis of the hip joint region in children

Besides loosing ROM of the hip joint, there are often secondary degenerative changes especially of tuberculosks spine in the longer term.

Thorough debridement of infected tissues and postoperative antituberculous chemotherapy are the keys to lowering the potential risk of reactivation of TB. Synovectomy and joint debridement are done with an aim to reduce the disease tissue load and ascertain diagnosis.


The histological result was suspicious for tuberculosis with marked granulomatous lymphadenitis and caseous degenerated confluent necrosis, but tuberculin test and sputum sample examinations by microscopy and culture medium were negative.

Many authors suggest that medical treatment alone is enough. Current concepts in bone and joint tuberculosis. If warranted, limb lengthening can be done to take care of limb shortening. Complete course of chemotherapy is the most important therapeutic approach.

Babhulkar and Pande 9 introduced a classification, based on above clinicoradiological presentations tuberculodis stage of synovitis, early arthritis, stage of arthritis and stage of advanced arthritis. Finally it should be emphasized, that a decision for performing a less extensive bone-saving operative intervention for the treatment of TBC as a first step with a minimal tuherculosis expenditure for patient and surgeon in a suitable case does not exclude further application of more extensive surgical treatment, thus the above mentioned surgical techniques could be still performed in case of failure.

Arch Orthop Trauma Surg.

Tuberculosis of hip: A current concept review

Footnotes Source of Support: The adequate surgical debridement and ATT was the key for a successful outcome. From conservative therapy in the form of ATT and traction to debridement and joint replacement, a variety of surgical procedures have been described. Author information Copyright and License information Disclaimer. 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.

These hips were mainly of the poor prognostic types, with erosion of the head or acetabulum, dislocation or joint narrowing. X-ray of the right pelvis showed a slight joint space narrowing with affection of the acetabulum and the femoral head Fig. The cornerstone of management is early diagnosis. The treatment of osteoarticular tuberculosis includes anti-tuberculosis drugs.


Deformities are correctable, shortening is minimal and range of movements can be more than functional depending upon how seriously exercises regimen is followed. Literature has described various treatment options both nonoperative 3 and operative.

These are usually associated with a poor prognosis. J Bone Joint Surg Am. In case of tuberculous coxitis TBC a prior pulmonary infection causes the affection of the joint by haematogenous spread. We report an unusual case of TBC in a year-old otherwise healthy native female with recurrent tyberculosis pain without a history of long-termed stays in foreign countries.

Tubercular arthropathy is usually monoarticular. The osteoarticular lesions have a variable outcome. Tuberculosis of bones and joints. In the ‘travelling acetabulum’ type, the foxitis is in the roof.

Tuberculosis of hip: A current concept review

The outcome of allografts and anterior instrumentation in spinal tuberculosis. The most common form of articular tuberculosis is spondylitis followed by arthritis of weight bearing joints especially knee and hip 6. Excision arthroplasty In the Indian subcontinent and in many Asian countries, people do not accept a stiff hip joint as squatting, sitting cross-legged, and kneeling are essential socioeconomic actives in their day to day life.

Approach to septic arthritis. Early presentations are pain around hip and limp.

Tuli 8 earlier was recommending partial weight-bearing only after months of treatment, and full weight-bearing only at 18 months. His report combines adults and children. Total hip arthroplasty in patients with active tuberculosis of the hip with advanced arthritis.

Leowski J, Miller M.