Enarson D A, Fujii M, Nakielna E M, Grzybowski S
Can Med Assoc J. 1979 Jan 20;120(2):139-45.
Although tuberculous disease of bones and joints is becoming uncommon, it still occurs and may cause devastating sequelae. It is frequently not diagnosed prior to the onset of permanent damage to the joints or spine; the most important reason for this delay may be the fact that it is not considered in the differential diagnosis of monoarthritis or back pain. Most persons with the disease have other evidence of tuberculosis. Not infrequently an aggressive approach (including synovial biopsy or surgical exploration of the back) is needed to confirm the diagnosis when there are no other clues.
尽管骨与关节结核已不常见，但仍有发生，且可能导致严重后果。在关节或脊柱出现永久性损伤之前，该病常常难以诊断；延误诊断的最重要原因可能是在单关节炎或背痛的鉴别诊断中未考虑到该病。大多数患者有其他结核病证据。当没有其他线索时，往往需要采取积极的方法（包括滑膜活检或背部手术探查）来确诊。
