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...
Related to
1Practised by MCQ
10What is the most common age group affected by tuberculous arthritis of the hip?
mcqWhat is the characteristic deformity associated with TB hip?
mcqWhich radiographic feature is part of the classic Phemister triad for TB joint?
mcqWhat is the first stage in Shanmugasundaram's classification of TB hip?
mcqWhich of the following is NOT a common clinical feature of TB hip in children?
mcqWhat is the duration of anti-tuberculous treatment recommended for TB hip?
mcqWhich investigation is most sensitive for early changes in TB hip?
mcqWhat is the primary mechanism of joint destruction in tuberculous arthritis of the hip?
mcqWhich of the following treatments is indicated for persistent synovitis in TB hip?
mcqWhat is a common risk factor for developing TB hip?