Knee Tuberculosis Of The Bone
The knee joins the thigh bone femur to the shin bone tibia. Knee braces walkers canes.
Pulmonary tuberculosis accounts for around 52 1 of tubercular infection but musculoskeletal involvement is seen in up to 19 of cases.
Knee tuberculosis of the bone. Tuberculosis is an infection caused by bacterium mycobacterium tuberculosis. The germs can invade different parts of the body such as the lungs bone skin brain joints etc. Now complains for a painless swelling of the knee and pain while walking for the past 2 3 years.
Diagnosis certain diagnosis certain. In the united states only about 3 percent of all tb cases affect the musculoskeletal system. Bone tb can produce pain as well as other symptoms.
Tuberculosis tb is caused by a bacterium called mycobacteria tuberculosis 5. The joint surfaces may be eroded. Coronal bone window erosion with nodular soft tissue masses involving the tibia fibula distal.
The smaller bone that runs alongside the tibia fibula and the kneecap patella are the other bones that make the knee joint. 2 it is more common in children than in adults probably owing to the greater amount of bone marrow present in immature bone. In osseous tuberculosis may see juxta articular lytic lesions.
While weight loss and exercise can provide great bone on bone knee pain relief it s not an instant solution. The joint space may be widened. Bone is the site of involvement in about 20 to 30 percent of people with extrapulmonary tb.
The pannus may erode the margins of the articular cartilage grow between the articular cartilage and the subchondral bone thus detaching the cartilage from the bone and may grow over the articular cartilage as a sheet of granulation tissue. There is diffuse osteoporosis of the bones around the joint. 9 hip and knee monoarticular arthritis accounts for 30 of all cases of skeletal tuberculosis in children.
Knee tuberculosis a simple presentation. Bone tuberculosis is simply a form of tb that affects the spine the long bones and the joints. 5 10 13 most cases of monoarthritis tb are a result of reactivation of latent disease marked by a latency period of 1 3 years.
It takes time and consistent effort to build muscle strength and lose bodyweight. Tuberculosis monoarthritis is a rare form of tb occurring in 1 2 of cases of cases in the united states. Although tb primarily affects the lungs it sometimes spreads to other body areas producing extrapulmonary tb.
Case contributed by dr tamsir rongpipi. History of a fall 4 years agho. In later stages joint space may be diminished or completely lost.
In advanced stages triple subluxation with cavitatory bone lesions may be present. Recurrence of tb although rare can occur sometime. Should you manage to lose a significant amount of weight you may struggle to keep it off.
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