Orthonotes
Orthonotes
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TB Knee

Common site of osteoarticular TB after spine and hip; presents with chronic monoarthritis. Phemister triad on X‑ray: peri‑articular osteopenia, marginal erosions, gradual joint‑space narrowing. MRI shows synovitis, cartilage loss, and bone marrow edema—useful for early disease. Confirm by biopsy/AFB/GeneXpert; ESR/CRP typically raised. Treatment: ATT 9–12 months; synovectomy in persistent synovitis; arthrodesis/arthroplasty after disease quiescence for end‑stage joints.

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Common site of osteoarticular TB after spine and hip; presents with chronic monoarthritis. Phemister triad on X‑ray: peri‑articular osteopenia, marginal erosions, gradual joint‑space narrowing. MRI shows synovitis, cartilage loss, and bone marrow edema—useful for early disease. Confirm by biopsy/AFB/GeneXpert; ESR/CRP typically raised. Treatment: ATT 9–12 months; synovectomy in persistent synovitis; arthrodesis/arthroplasty after disease quiescence for end‑stage joints.
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Question 1

What is the most common peripheral joint affected by osteoarticular tuberculosis after the hip?

Question 2

Which of the following is part of the Phemister triad seen in osteoarticular tuberculosis?

Question 3

What is the typical duration of treatment for tuberculosis of the knee?

Question 4

Which imaging modality is most useful for early diagnosis of tuberculous arthritis of the knee?

Question 5

What is the characteristic presentation of knee tuberculosis?

Question 6

Which of the following is NOT a typical clinical feature of tuberculosis of the knee?

Question 7

Which of the following investigations is essential for confirming the diagnosis of tuberculous arthritis?

Question 8

What is the main pathological feature of Stage I tuberculosis of the knee?

Question 9

Which demographic is most commonly affected by knee tuberculosis in endemic regions?

Question 10

What is the recommended intervention for persistent synovitis in knee tuberculosis after initial medical treatment?