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Failed Radiation Synovectomy in Diseased Knee Joint with Missed Tuberculous Synovitis

The authors in this case report highlight the poor outcome of radiation synovectomy (RSV) for repeated knee joint effusion in a patient with histopathologically proven nonspecific arthritis. There was partial response initially following RSV but later follow-up showed recurrence in joint effusion wi...

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Detalles Bibliográficos
Autores principales: Sood, Ashwani, Sharma, Aman, Chouhan, Devendra Kumar, Gupta, Kirti, Parghane, Rahul, Shukla, Jaya, Mittal, Bhagwant Rai
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5020797/
https://www.ncbi.nlm.nih.gov/pubmed/27651744
http://dx.doi.org/10.4103/1450-1147.167606
Descripción
Sumario:The authors in this case report highlight the poor outcome of radiation synovectomy (RSV) for repeated knee joint effusion in a patient with histopathologically proven nonspecific arthritis. There was partial response initially following RSV but later follow-up showed recurrence in joint effusion with limited and painful mobility of the knee joint. Subsequent surgical synovectomy and histopathological examination showed it to be tubercular in origin. Thus in a country endemic for tuberculosis, an alternative infective etiology should also be kept in mind before subjecting the patient to RSV.