Franceschi J P, Chapuis J, Curvale G, Roux H, Aquaviva P, Groulier P
Service de Chirurgie Orthopédique et Traumatologique, Hôpital de la Conception, Marseille.
Rev Rhum Mal Osteoartic. 1991 Jun;58(6):433-9.
Tuberculous trochanteritis is rare. The authors report 30 cases, 2/3 of which were seen in sanatoria. They occurred in four cases out of five in patients with long standing tuberculosis but were sometimes the presenting feature. Development of an abscess of the trochanteric serous bursa is a virtually constant complication. Their minimal functional consequences and slow progression endow them with an apparently benign nature which masks the risk of secondary complications (4 cases of coxalgia). Radiological appearances, minimal in early forms, are currently becoming more abundant by virtue of new medical imaging techniques. Specific antibiotic therapy is adequate in two cases out of three, completed in advanced and aggressive forms by local procedures dominated by surgical excision (13 cases).
结核性转子炎较为罕见。作者报告了30例病例，其中三分之二见于疗养院。五分之四的病例发生在患有长期结核病的患者中，但有时是首发症状。转子滑囊脓肿的形成实际上是一种常见并发症。它们功能影响极小且进展缓慢，表面上具有良性特征，掩盖了继发并发症（4例髋痛）的风险。早期的放射学表现不明显，如今借助新的医学成像技术，其表现越来越多。三分之二的病例采用特异性抗生素治疗就足够了，对于晚期和侵袭性病例，则以手术切除为主的局部治疗作为补充（13例）。
