Karray S, Karray M, Ayadi K, Zouari M, Zlitni M, Douik M, Litaiem T, Slimane N
Institut National d'Orthopédie Mohamed Kassab Mannouba, Tunis.
Int Orthop. 1993 Nov;17(5):313-9. doi: 10.1007/BF00181708.
This paper presents a short study of 17 cases of tuberculosis of the greater trochanter seen during a period of 19 years at the National Orthopaedic Institute in Tunis. The onset of the infection is slow with patients presenting at a mean of 7 years after initial symptoms. The diagnosis is confirmed by biopsy and culture of the organism. Management is based on treatment with antituberculous drugs, although surgical excision of the lesion is sometimes required. Successful resolution of the symptoms is usually achieved unless the hip joint becomes involved. Our patients showed good results at a mean follow up of 5 1/2 years.
本文介绍了在突尼斯国家骨科研究所19年间所诊治的17例大转子结核的简短研究。感染起病缓慢,患者在出现初始症状后平均7年就诊。通过对病原体进行活检和培养来确诊。治疗以抗结核药物为主,不过有时需要对病灶进行手术切除。除非髋关节受累,症状通常能成功缓解。我们的患者在平均5年半的随访中显示出良好的结果。