Cargando…
Tuberculosis of hip: A current concept review
Tuberculosis (TB) of the hip is second to spine only hence a good number of cases are visiting the medical facilities every year. Many present in the advanced stage of the disease due to delayed diagnosis. In early stages of TB of hip, there is a diagnostic dilemma when plain X-rays are negative. In...
Autores principales: | , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4292318/ https://www.ncbi.nlm.nih.gov/pubmed/25593352 http://dx.doi.org/10.4103/0019-5413.143903 |
_version_ | 1782352472766939136 |
---|---|
author | Saraf, Shyam Kumar Tuli, Surendra Mohan |
author_facet | Saraf, Shyam Kumar Tuli, Surendra Mohan |
author_sort | Saraf, Shyam Kumar |
collection | PubMed |
description | Tuberculosis (TB) of the hip is second to spine only hence a good number of cases are visiting the medical facilities every year. Many present in the advanced stage of the disease due to delayed diagnosis. In early stages of TB of hip, there is a diagnostic dilemma when plain X-rays are negative. In the present time, diagnostic modalities have improved from the days when diagnosis was based essentially on clinicoradiological presentation alone. By the time definite radiological changes appear on plain X-ray, the disease has moderately advanced. The modern diagnostic facilities like ultrasonography (USG) or magnetic resonance imaging of the hip joint, USG guided aspiration of synovial fluid and obtaining the material for polymerase chain reaction and tissue diagnosis must be utilized. In the treatment, current emphasis is more on mobility with stability at hip. Joint debridement, skeletal traction, and mobilization exercises may give more satisfying results as compared to the immobilization by hip spica. Adults with advanced arthritis and healed infection should be informed and discussed the various treatment modalities including the joint replacement. More and more surgeons are taking up the challenge of putting the total hip replacement in the active stage of the disease. Until the long term results in active disease are well established, we recommend it for the healed disease only in selected cases. |
format | Online Article Text |
id | pubmed-4292318 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-42923182015-01-15 Tuberculosis of hip: A current concept review Saraf, Shyam Kumar Tuli, Surendra Mohan Indian J Orthop Symposium-ICL-2014 Tuberculosis (TB) of the hip is second to spine only hence a good number of cases are visiting the medical facilities every year. Many present in the advanced stage of the disease due to delayed diagnosis. In early stages of TB of hip, there is a diagnostic dilemma when plain X-rays are negative. In the present time, diagnostic modalities have improved from the days when diagnosis was based essentially on clinicoradiological presentation alone. By the time definite radiological changes appear on plain X-ray, the disease has moderately advanced. The modern diagnostic facilities like ultrasonography (USG) or magnetic resonance imaging of the hip joint, USG guided aspiration of synovial fluid and obtaining the material for polymerase chain reaction and tissue diagnosis must be utilized. In the treatment, current emphasis is more on mobility with stability at hip. Joint debridement, skeletal traction, and mobilization exercises may give more satisfying results as compared to the immobilization by hip spica. Adults with advanced arthritis and healed infection should be informed and discussed the various treatment modalities including the joint replacement. More and more surgeons are taking up the challenge of putting the total hip replacement in the active stage of the disease. Until the long term results in active disease are well established, we recommend it for the healed disease only in selected cases. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4292318/ /pubmed/25593352 http://dx.doi.org/10.4103/0019-5413.143903 Text en Copyright: © Indian Journal of Orthopaedics http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Symposium-ICL-2014 Saraf, Shyam Kumar Tuli, Surendra Mohan Tuberculosis of hip: A current concept review |
title | Tuberculosis of hip: A current concept review |
title_full | Tuberculosis of hip: A current concept review |
title_fullStr | Tuberculosis of hip: A current concept review |
title_full_unstemmed | Tuberculosis of hip: A current concept review |
title_short | Tuberculosis of hip: A current concept review |
title_sort | tuberculosis of hip: a current concept review |
topic | Symposium-ICL-2014 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4292318/ https://www.ncbi.nlm.nih.gov/pubmed/25593352 http://dx.doi.org/10.4103/0019-5413.143903 |
work_keys_str_mv | AT sarafshyamkumar tuberculosisofhipacurrentconceptreview AT tulisurendramohan tuberculosisofhipacurrentconceptreview |