髌结核：一例报告。

Patella tuberculosis: a case report.

机构信息

Orthopedic and Traumatological Surgery Department, Ibn Rochd Teaching Hospital, Casablanca, Morocco.

出版信息

Orthop Traumatol Surg Res. 2009 Dec;95(8):649-51. doi: 10.1016/j.otsr.2009.10.004.

DOI:10.1016/j.otsr.2009.10.004

PMID:19945368

Abstract

A rare case of patella tuberculosis is reported. Clinical signs comprised chronic inflammatory pain, knee swelling and joint stiffness, with two years' evolution. Standard X-ray showed focal osteolysis with intact joint line. Diagnosis was based on surgical biopsy during arthrotomy. Treatment comprised nine months' antibiotherapy and bone curettage to prevent intra-articular extension. At 42 months' follow-up, functional results were good, without recurrence of infection.

摘要

报告一例罕见的髌骨结核病例。临床症状包括慢性炎症性疼痛、膝关节肿胀和关节僵硬，病程达两年。标准 X 光片显示局灶性溶骨性破坏，关节间隙完整。诊断基于关节切开术中的手术活检。治疗包括 9 个月的抗生素治疗和骨刮除术，以防止关节内蔓延。42 个月随访时，功能结果良好，无感染复发。