Orthonotes
Orthonotes
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TB Hip

Second most common osteoarticular TB after spine; insidious monoarthritis progressing through stages. Typical deformity: flexion, adduction, external rotation; muscle spasm and night cries common in children. Shanmugasundaram radiographic stages (synovitis → arthritis → advanced arthritis → ankylosis) guide treatment. Diagnosis: ESR/CRP, MRI for early synovitis/marrow edema; confirm with biopsy/AFB smear/culture/GeneXpert. Treatment: ATT for 9–12 months; traction/physiotherapy early; synovectomy/osteotomy for persistent synovitis; excision arthroplasty or delayed THR after disease quiescence in advanced disease.

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Second most common osteoarticular TB after spine; insidious monoarthritis progressing through stages. Typical deformity: flexion, adduction, external rotation; muscle spasm and night cries common in children. Shanmugasundaram radiographic stages (synovitis → arthritis → advanced arthritis → ankylosis) guide treatment. Diagnosis: ESR/CRP, MRI for early synovitis/marrow edema; confirm with biopsy/AFB smear/culture/GeneXpert. Treatment: ATT for 9–12 months; traction/physiotherapy early; synovectomy/osteotomy for persistent synovitis; excision arthroplasty or delayed THR after disease quiescence in advanced disease.
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Question 1

What is the most common age group affected by tuberculous arthritis of the hip?

Question 2

What is the characteristic deformity associated with TB hip?

Question 3

Which radiographic feature is part of the classic Phemister triad for TB joint?

Question 4

What is the first stage in Shanmugasundaram's classification of TB hip?

Question 5

Which of the following is NOT a common clinical feature of TB hip in children?

Question 6

What is the duration of anti-tuberculous treatment recommended for TB hip?

Question 7

Which investigation is most sensitive for early changes in TB hip?

Question 8

What is the primary mechanism of joint destruction in tuberculous arthritis of the hip?

Question 9

Which of the following treatments is indicated for persistent synovitis in TB hip?

Question 10

What is a common risk factor for developing TB hip?