Yin Y, Gilula L
Beijing Ji Shui Tan Hospital, Beijing Institute of Traumatology and Orthopaedics, People's Republic of China.
Orthop Rev. 1993 Aug;22(8):943-9.
Although tuberculous arthritis is currently uncommon in the United States, the hip joint is a common location. Tuberculous arthritis usually presents as a mild, slowly progressing process. It often involves a single joint. Radiological findings include osteopenia of the involved joint, soft tissue swelling, bone destruction without evidence of bone formation, and sequestrum formation. Several conditions should be considered in the differential diagnosis. The detailed roentgenographic appearances and many of the differential diagnoses are included in this paper. Final diagnosis is made by positive culture results or finding the bacillus histologically.
虽然结核性关节炎目前在美国并不常见，但髋关节是其常见发病部位。结核性关节炎通常表现为一个轻度、进展缓慢的过程。它常累及单个关节。影像学表现包括受累关节骨质减少、软组织肿胀、无骨形成迹象的骨质破坏以及死骨形成。鉴别诊断时应考虑几种情况。本文包含了详细的X线表现及许多鉴别诊断。最终诊断依据阳性培养结果或组织学发现结核杆菌做出。
