A case report of tuberculous arthritis of the ankle.

概要

論文の詳細を見る
A 64-year-old man complained of pain in his left ankle. For five months, he was treated for it as gout in another hospital. His left ankle was swollen, and roentgenogram revealed erosion on the articular surface of the fibula, narrow joint space, and slight osteoporosis. Tuberculous arhtritis was suspected from the present illness and the roentgenogram. Synovectomy of the left ankle and extirpation of the cyst were performed. From the operative findings, we concluded that it was tuberculosis, which was proven histologically later, and the chemotherapy was started on the fifth postoperative day. Despite the chemotherapy, a sinus tract on the wound did not close, so curettage and arthrodesis of the ankle were performed four months after the first operation. The postoperative course had been satisfactory for five months.Recently, tuberculosis has decreased in number, which often results in delay in time of diagnosis. Chemotherapy has improved treatment of tuberculosis and surgery has become elective in most cases. So, even performing biopsy positively, a correct diagnosis should be made early enough to avoid unnecessary joint destruction.
西日本整形・災害外科学会の論文