Avascular Necrosis as a Sequalae of Tuberculosis of Hip

Jani C1*, Kale A1 , Desouza C1 , Gulati S2 , Pareek R1 and Khan U1

1 Dr. DY Patil Medical Hospital and Research Centre, India 2 JJM Medical College, Medical College Road, India

^*Correspondance to: Chiranjivi Jani 

 PDF  Full Text DOI: 10.25107/2474-1647.3187

Abstract

Introduction: The occurrence of tuberculosis of Hip joint is next to that of tuberculosis of spine and constitutes 15% of all cases of osteoarticular Tuberculosis. If the hip joint is left untreated after been diagnosed, it can lead to continuous demolition of the joint which may lead up to pathological destruction. Tuberculosis, caused by Mycobacterium tuberculosis, is a common infectious disease in the developing countries. Osteoarticular TB occurs secondary to primary pathology in lungs, lymph nodes or any of the viscera. The bacteria reach either the synovium or the bone tissue via hematogenous route. The granulated tissue from the synovium extends over the bone tissue leading to the necrosis of the subchondral bone, sequestra and may be kissing lesion on either side of the joint. In the early stages of TB hip, plain radiographs are unrevealing so, by the time radiological changes are visible on a plain radiograph, the disease has moderately advanced. Variation in the clinical and radiological representation may imitate common osseous and articular conditions seen in children which in turn delay the diagnosis. TB of Hip joint has been rarely reported in the recent literature. In recent times, modern diagnostic procedures such as USG, MRI of hip joint, USG guided aspiration of the synovial fluid, obtaining the material for PCR and tissue diagnosis are incorporated. Case Report: This case report discusses 14 year old Female with complaints of Right hip pain which was later diagnosed to be tuberculosis of the hip. When she came for further evaluation she was diagnosed with AVN of the same hip with the help of imaging studies. Conclusion: We conclude from the case reported that although very rare, Tuberculosis of the hip, although a common sequalae in adults, can result into avascular necrosis of the hip even in the pediatric/adolescent age group.

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Cite the article

Jani C, Kale A, Desouza C, Gulati S, Pareek R, Khan U. Avascular Necrosis as a Sequalae of Tuberculosis of Hip. Clin Surg. 2021; 6: 3187..