膝关节结核

Lidder Surjit, Lang Kathryn, Haroon Mallick, Shahidi Mitra, El-Guindi Magdi

Department of Trauma and Orthopaedics, Stoke Mandeville Hospital, Mandeville Road, Aylesbury, Buckinghamshire;

Orthop Rev (Pavia). 2009 Oct 10;1(2):e24. doi: 10.4081/or.2009.e24.

Extrapulmonary manifestations of tuberculosis are reported in less than one in five cases with the knee affected in 8% after the spine and hip. We report a case of isolated highly erosive tuberculosis of the knee presenting in a previously fit Vietnamese woman. The difficulties of diagnosis, modalities of chemotherapeutic management, and surgical treatment are discussed.

据报道，肺外结核在不到五分之一的病例中出现，膝关节受累的情况在脊柱和髋关节之后，占8%。我们报告一例孤立性高度侵蚀性膝关节结核病例，患者为一名此前健康的越南女性。文中讨论了诊断的难点、化疗管理方式以及手术治疗方法。