TUBERCULOSIS OF KNEE
TUBERCULOSIS OF THE KNEE
- The knee is a common site of tuberculosis.
CLINICAL FEATURES
- Age group of 10-25 years.
- Pain and swelling in the knee.
- Severe stiffness of the knee.
EXAMINATION
- Following findings may be present on examination:
- Swelling
- Muscle atrophy
- Cold abscess
- Sinus
- Mild flexion deformity of the knee because of effusion in the knee, and muscle spasm.
- Pain and muscle spasm on attempting movement.
INVESTIGATIONS
Radiological examination:
Radiological examination:
- The joint space may be widened.
- There is diffuse osteoporosis of the bones around the joint.
- In osseous tuberculosis, may see juxta-articular lytic lesions.
- The joint surfaces may be eroded.
- In later stages, joint space may be diminished or completely lost.
- In advanced stages, triple subluxation with cavitatory bone lesions may be present.
Other investigations: Biopsy required.

TREATMENT
Conservative treatment:
- antitubercular chemotherapy.
- general care and local care of the part affected.
- Surgery taken if indicated.
- Care of the knee: The knee is rested by applying below-knee skin traction or an above-knee PoP slab.
Operative treatment:
- Synovectomy
- Joint debridement
- Arthrodesis
Exam Important
TUBERCULOSIS OF KNEE
Radiological examination:
- The joint space may be widened.
- There is diffuse osteoporosis of the bones around the joint.
- In osseous tuberculosis, may see juxta-articular lytic lesions.
- The joint surfaces may be eroded.
- In later stages, joint space may be diminished or completely lost.
- In advanced stages, triple subluxation with cavitatory bone lesions may be present.
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