Tuberculosis of greater trochanter presenting as avulsion fracture of greater trochanter-A case report (original) (raw)

Recurrent Tuberculosis of Greater Trochanter and Its Bursa

Case Reports in Orthopedics, 2013

A 65-year-old female had a history of tuberculosis of the left greater trochanter 30 years ago. She underwent 6 months of chemotherapy after which the disease healed completely. Currently she presented to us with pain and swelling on the lateral aspect of left hip of 2-month duration. Clinical and radiological findings were suggestive of a recurrence. Biopsy was conclusive for tuberculosis. She was successfully treated with debridement and curettage with chemotherapy for 1 year. Recurrent tuberculosis of the greater trochanter is rare and should be aggressively treated.

Unusual orthopedic presentation of tuberculosis: A case report and review of literature

International Journal of Case Reports in Orthopaedics, 2021

The case of a 77-year-old male man with right hip tuberculosis. Biopsy and aspirate were taken during debridement surgery and sent for histopathology, which confirmed the Mycobacterium tuberculosis microorganism. The patient was treated with debridement and started antimicrobial treatment.

Case report rare greater trochanter fracture

International Journal of Orthopaedics Sciences

Introduction: The Greater Trochanter fracture is a rare injury. It is of two types, True fracture which occurs only in Adults or as Epiphyseal separation which are found in adolescent population. It is caused by direct hit or fall muscular disruption displacement of trochanteric fracture is secondary to short external rotators with forceful abduction with leg in external rotation. Case report: In this case report, 26 year male presented with pain over hip with weakness in abduction and limping. On X ray it was greater trochanter fracture which was fixed with cancellous screw, the outcome was good. The patient reverted to his obvious activities with normal range of movement. Conclusion: The surgical minimally invasive treatment have better outcome with early mobilization, good range of hip movement especially abduction post operative in adult.

Tuberculosis of talus with ankle joint involvement: A case report

International Journal of Case Reports in Orthopaedics, 2020

We present a case of a 17-years-old lady, with right ankle joint pain and swelling. The diagnosis of tuberculosis of the talus with involvement of the distal tibia and ankle joint was made with the help of X-rays, MRI, gene expert and core needle biopsy from the talus. She was treated with anti-tubercular chemotherapy and ankle immobilisation. Conclusion: Early diagnosis with radiological studies, gene expert and histopathology will help preventing further destruction of the joint surfaces due to this rare form of skeletal tuberculosis. This along with a conservative treatment with anti-tubercular drugs and protected weight bearing gives excellent functional results.

Tuberculosis presenting as a scaphoid fracture: A rare case report

2019

Tuberculosis of the wrist is an uncommon clinical entity and mostly presents as insidious pain and swelling. Presentation of singular carpal bone involvement is rare as the presenting feature. A case of scaphoid fracture was evaluated in a 20-year-old male patient, and underlying tuberculosis was diagnosed on magnetic resonance imaging and culture of joint fluid. Antitubercular therapy under appropriate supervision resulted in clinical improvement and optimal regain of function. No reactivation of the disease was noted in a follow-up of 2 years. This case highlights a rare presentation of tuberculosis presenting with a fracture of scaphoid.

Tuberculosis of the foot: An osteolytic variety

Indian Journal of Orthopaedics, 2012

Background: Foot involvement in osteoarticular tuberculosis is uncommon and isolated bony involvement of foot bones with an osteolytic defect is even more rare; diagnostic and therapeutic delays can occur, worsening the prognosis. We present a retrospective series of osteolytic variety of foot tuberculosis. Materials and Methods: We present 24 osteolytic variety of foot tuberculosis (Eleven calcaneus, four cuboid, two cunieforms, one talus, three metatarsals, three phalanges) out of 92 foot TB cases collected over last 20 years. There were 16 adults and eight children. Tissue diagnosis was established in 23 of 24 cases based on PCR AFB staining, culture, and histopathology. Surgical intervention was reserved for patients with either a juxtaarticular focus threatening to involve a joint or an impending collapse of a midfoot bone with cystic destruction. Results: Fifteen cases had an osteolytic lesion on the radiographs resembling a space-occupying lesion, five had patchy osteolysis, while four showed coke like sequestra; one patient had a lesion in two bones. Antitubercular chemotherapy after biopsy was sufficient to heal the lesion in 19 cases, while in five cases surgical debridement needed to be done. The lesions healed eventually. At an average followup of 8.3 years, (range 2-15 years) there were no recurrences and all patients were free from pain, with no restriction of movements. Six patients complained of occasional pain during walking on uneven ground. Conclusion: When tuberculous pathology is limited to the bone, the prognosis is better than in articular disease, as there is less deformity, and hence, less residual pain and disability.

A report of two challenging cases of bone infection: Mycobacterium tuberculosis. How to manage?

Oxford Medical Case Reports

The incidence of bone tuberculosis is less than 5% of all tuberculosis cases. Furthermore, multifocal bone tuberculosis is uncommon, which rarely occurs without primary foci. It is difficult to diagnose, particularly if it is localized in both humeral heads. On the other hand, the isolated iliac bone tuberculosis is exceptional; it constitutes, also, a challenging diagnosis, which requires a high index of clinical suspicion and advanced investigations. Herein, we first report a case of multifocal tuberculosis of both humeral heads with no primary foci, and we secondarily report a case of isolated iliac bone tuberculosis. At last, however, the histological exam and polymerase chain reaction for the Mycobacterium tuberculosis complex are not always positives; they are mandatory as tests to ascertain the diagnosis.