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Tuberculosis of the patella
L Galois1, I Chary-Valckenaere, D Mainard
1Department of Orthopaedic Surgery, Nancy University Hospital, 29 avenue Marechal de Lattre de Tassigny, 54035, Nancy Cedex, France. lgalois@free.fr
Archives of Orthopaedic and Trauma Surgery
|April 11, 2003
Summary
Tuberculosis of the patella is a rare condition. Early diagnosis and prompt treatment, including surgery and chemotherapy, are crucial for a good outcome in patients with this rare form of extrapulmonary tuberculosis.
Area of Science:
- Orthopedics
- Infectious Diseases
- Radiology
Background:
- Tuberculosis (TB) incidence is rising due to population migration and immunosuppression.
- Extrapulmonary TB is uncommon, with patellar TB being exceptionally rare, evidenced by fewer than 10 reported cases.
- This report details a rare case of patellar TB in a 33-year-old male.
Observation:
- A 33-year-old man presented with a 9-month history of left knee pain and swelling.
- Biological and radiological investigations led to the diagnosis of tuberculosis of the patella.
Findings:
- Magnetic Resonance Imaging (MRI) is vital for diagnosing TB extent and guiding treatment.
- Histological analysis of curettage specimens is essential for definitive diagnosis and tailored management.
- Effective management involves chemotherapy and rehabilitation.
Implications:
- Urgent diagnosis and treatment are necessary for favorable functional outcomes.
- Combined surgical debridement and antitubercular therapy are key components of management.
- This case highlights the importance of considering rare presentations of TB in clinical practice.