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Endoscopic Resection of Recalcitrant Tuberculous Bursitis of the Popliteal Fossa

Tuberculosis of the musculoskeletal system is uncommon and constitutes 1% to 5% of all forms of tuberculosis. In total, 30% of skeletal tuberculosis involves the joints, the knee being the third most commonly affected after the spine and the hip. Knee tuberculosis commonly presents as synovitis or a...

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Autores principales: Chan, Yi Lok Charis, Lui, Tun Hing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8355177/
https://www.ncbi.nlm.nih.gov/pubmed/34401235
http://dx.doi.org/10.1016/j.eats.2021.04.016
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author Chan, Yi Lok Charis
Lui, Tun Hing
author_facet Chan, Yi Lok Charis
Lui, Tun Hing
author_sort Chan, Yi Lok Charis
collection PubMed
description Tuberculosis of the musculoskeletal system is uncommon and constitutes 1% to 5% of all forms of tuberculosis. In total, 30% of skeletal tuberculosis involves the joints, the knee being the third most commonly affected after the spine and the hip. Knee tuberculosis commonly presents as synovitis or arthritis, and infected Baker’s cyst is a rather rare presentation. It is believed to result from the propagation of tuberculosis of the knee joint into the cyst, as approximately one half of the Baker’s cyst communicates with the knee joint and it appears as swelling in the medial aspect of the popliteal fossa. For tuberculous popliteal bursitis at the lateral aspect of the popliteal fossa, it may be an extra-articular extension of tuberculosis of the knee joint via the popliteal hiatus. Chemotherapy remains the cornerstone of treatment; surgery is indicated in recalcitrant cases. In this Technical Note, the technical details of endoscopic resection of recalcitrant tuberculous bursitis at the lateral aspect of the popliteal fossa are described. This minimally invasive technique has the advantage of better cosmetic results and fewer wound complications and reduces the extent of surgical dissection as compared with open surgery.
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spelling pubmed-83551772021-08-15 Endoscopic Resection of Recalcitrant Tuberculous Bursitis of the Popliteal Fossa Chan, Yi Lok Charis Lui, Tun Hing Arthrosc Tech Technical Note Tuberculosis of the musculoskeletal system is uncommon and constitutes 1% to 5% of all forms of tuberculosis. In total, 30% of skeletal tuberculosis involves the joints, the knee being the third most commonly affected after the spine and the hip. Knee tuberculosis commonly presents as synovitis or arthritis, and infected Baker’s cyst is a rather rare presentation. It is believed to result from the propagation of tuberculosis of the knee joint into the cyst, as approximately one half of the Baker’s cyst communicates with the knee joint and it appears as swelling in the medial aspect of the popliteal fossa. For tuberculous popliteal bursitis at the lateral aspect of the popliteal fossa, it may be an extra-articular extension of tuberculosis of the knee joint via the popliteal hiatus. Chemotherapy remains the cornerstone of treatment; surgery is indicated in recalcitrant cases. In this Technical Note, the technical details of endoscopic resection of recalcitrant tuberculous bursitis at the lateral aspect of the popliteal fossa are described. This minimally invasive technique has the advantage of better cosmetic results and fewer wound complications and reduces the extent of surgical dissection as compared with open surgery. Elsevier 2021-07-13 /pmc/articles/PMC8355177/ /pubmed/34401235 http://dx.doi.org/10.1016/j.eats.2021.04.016 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Technical Note
Chan, Yi Lok Charis
Lui, Tun Hing
Endoscopic Resection of Recalcitrant Tuberculous Bursitis of the Popliteal Fossa
title Endoscopic Resection of Recalcitrant Tuberculous Bursitis of the Popliteal Fossa
title_full Endoscopic Resection of Recalcitrant Tuberculous Bursitis of the Popliteal Fossa
title_fullStr Endoscopic Resection of Recalcitrant Tuberculous Bursitis of the Popliteal Fossa
title_full_unstemmed Endoscopic Resection of Recalcitrant Tuberculous Bursitis of the Popliteal Fossa
title_short Endoscopic Resection of Recalcitrant Tuberculous Bursitis of the Popliteal Fossa
title_sort endoscopic resection of recalcitrant tuberculous bursitis of the popliteal fossa
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8355177/
https://www.ncbi.nlm.nih.gov/pubmed/34401235
http://dx.doi.org/10.1016/j.eats.2021.04.016
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