Knee tuberculosis

Synovial outlined knee area, the cancellous bone rich pay lower extremities major activities more easily sprain and other relevant factors, it higher prevalence rate. Projected spinal tuberculosis and hip tuberculosis, ranking second limb tuberculosis spaces. Patients, many of them children or young adults. Knee synovial tissue rich, the synovial tuberculosis prevalence rate higher. Pathogenesis of pathology at the beginning of most of the synovial membrane type, bone lesions of the upper tibia or distal femur. can be spread to the entire joint tuberculosis. Congestive synovial hypertrophy, slightly dark colors, translucent-like, and some show some kind of Okara or fermented bean curd. have effusion and adhesion, spreading to granulation tissue cartilage surface, and some may be friction and peeled off, exposing bone. If epiphysis damage can lead to the shortening of the limb. Due to the lack of muscle around the knee coverage, muscle atrophy, swelling, joint swelling was spindle. Abscess formation sinus easier to break, a very long course, it is difficult to self-healing, need more surgery. Slow onset of clinical performance, the early symptoms little, it will be mild swelling of joints, activity limitation, onset often longer rear treatment in newly diagnosed often found on the entire joint tuberculosis, the disease development, the swelling apparent, muscle atrophy, joint space narrowing and bone destruction, activity limitation, accompanied by pain and tenderness. Late pain is due to muscle spasm, leading to knee flexion contracture and, valgus deformity. Sinus often formed with infection. As the pain and deformity that the patients have claudication, or even unable to walk. Diagnosis should be based on clinical diagnosis of performance, body temperature, ESR, X-ray examination and, if necessary, timely for biopsy examination, Animal vaccination to determine the diagnosis. Attention to the early diagnosis, and sometimes swollen lymph node, tuberculosis, taken for biopsy in the diagnosis of tuberculosis knee is of great significance. With the trauma, septic arthritis and rheumatoid differentiate. Treatment (a) support therapy and anti-tuberculosis drugs to improve the treatment of systemic health conditions. (2) Early bedridden and traction quickly to alleviate the symptoms, skin traction with articular extension. (3) tuberculosis synovial-articular injection early 1888, each 1 gram, a weekly ~ 2 times, about 12 weeks, as invalid, Early surgery. (4) a surgical therapy. Tuberculosis bone lesions should be removed as soon as possible, to avoid the spread of joints. 2. Synovial-tuberculosis, as most of cartilage integrity, to do with debridement, the removal of synovitis patella fat, granulation cartilage surface, such as the meniscus involvement also need resection, surgery to stop bleeding completely, in the home limb Thomas splint, with skin traction, maintain joint extension. Joint activities gradually, but the rest to remain extension, the anti-tuberculosis drugs that lasted six months. children can be more protective of certain joint activity. 3. Total joint tuberculosis, osteoporosis significant damage, the total removal of lesions in the knee after the integration of functional spaces. Children should integrate in the knee extensor 180 °, not to hurt epiphysis. Auxiliary septic arthritis; Rheumatoid arthritis; Traumatic arthritis