Leigh Moore Sandra, Rafii Mahvash
Department of Radiology, NYU Medical Center, New York, NY 10016, USA.
Semin Musculoskelet Radiol. 2003 Jun;7(2):143-53. doi: 10.1055/s-2003-41348.
Musculoskeletal manifestations are seen in approximately 3% of tuberculosis (MTb) cases, more commonly in the spine. Extra-axial bone and joint MTb is infrequently encountered in the West. In the last decade, public health strategies for control of MTb have been so successful in industrialized countries that many clinicians are unfamiliar with the range of extrapulmonary manifestations of MTb and therefore hold a low index of suspicion for MTb in the diagnosis of bone and joint infection. MTb, however, persists as a serious and significant cause of musculoskeletal pathology in many parts of the world and for specific patient cohorts in industrialized countries. Knowledge of the patient groups at risk and awareness of the varied osteoarticular manifestations of MTb are essential for timely diagnosis and intervention and potential cure.
骨骼肌肉表现见于约3%的结核病（MTb）病例，在脊柱中更为常见。轴外骨与关节结核在西方并不常见。在过去十年中，工业化国家控制MTb的公共卫生策略非常成功，以至于许多临床医生不熟悉MTb的肺外表现范围，因此在诊断骨与关节感染时对MTb的怀疑指数较低。然而，在世界许多地区以及工业化国家的特定患者群体中，MTb仍然是骨骼肌肉病变的一个严重且重要的病因。了解高危患者群体以及认识MTb多样的骨关节表现对于及时诊断、干预以及可能的治愈至关重要。
