Tubercular Arthritis Research Articles

A case with pulmonary tuberculosis, pleural effusion, miliary tuberculosis, cervical and mediastinal lymphadenopathy, tubercular arthritis, psoas abscess and severe anemia

In this report, we describe an unusual case of disseminated tuberculosis (DTB) with pulmonary infiltrates, pleural effusion, miliary tuberculosis (MTB), cervical and mediastinal lymphadenopathy, tubercular arthritis, psoas abscess and severe anemia. Although the patient was immunocompetent, the disease had a gradual and unexpected progression. Tuberculosis can be present in multiple sites, especially in patients from areas where tuberculosis is endemic. An early diagnosis and prompt initiation of anti-tuberculosis treatment for appropriate duration ensures recovery even in complicated cases. In the malign forms of tuberculosis, treatment must be extended for a year or more. Response to anti-tuberculosis treatment was favorable in this case.

Tuberculous infection of the elbow joint

Tuberculosis remains a major health problem worldwide with musculoskeletal involvement reported to be infrequent. A resurgence of pulmonary tuberculosis is being evidenced, especially along with the increasing incidence of immunocompromised states and with this a concomitant rise in musculoskeletal tuberculosis. Unusual presentations of tubercular arthritis and equivocal investigations along with clinician inexperience can result in delay in diagnosis. The morbidity of delayed or untreated tubercular arthritis can be devastating, ending in painful ankylosis or a requirement for salvage procedures like excisional arthroplasty or arthrodesis. The early diagnosis of osteoarticular tuberculosis can be difficult. Presentation of the disease can mimic other conditions like neoplasia, non-tubercular infections and inflammatory arthropathy. Reports of tuberculous infection of the elbow are few. We report a case of a primary tuberculous infection of the elbow joint that presented as an isolated abscess in the cubital fossa, without pulmonary or systemic involvement. To prevent considerable morbidity, a diagnosis of tuberculosis should be included in the repertoire of diagnostic possibilities when confronted with unusual musculoskeletal manifestations.

Use of Polymerase Chain Reaction to Diagnose Tubercular Arthritis From Joint Tissues and Synovial Fluid

Use of Polymerase Chain Reaction to Diagnose Tubercular Arthritis From Joint Tissues and Synovial Fluid

A comparison of open and arthroscopic ankle fusion

The aim of this paper is to compare the infection rate and outcome of open and arthroscopic methods of ankle fusion, with fixation either by compression screws and plaster alone or with these supplemented by external fixation with Charnley compression clamps and pins. 41 ankles were fused, 20 by open methods, 21 arthroscopically. 26 ankles had osteoarthritis, eight had rheumatoid, seven post-traumatic, and one post tubercular arthritis. They were reviewed between 8 months and 8 years post op. There was no significant difference between open and arthroscopic methods for clinical fusion rates (85% open, 90% for arthroscopic), radiographic fusion rates (70% open, 76% for arthroscopic), or clinical score as assessed by American Orthopaedic Foot and Ankle Score (65 open, 68 arthroscopic). However, when external fixation with Charnley compression clamps and pins was used in 25 ankles, four (16%) developed infection, two superficial and two deep infection requiring debridement and curettage, one developed a stress fracture through the talar neck which united after a further 8 weeks in plaster. When pins and clamps were not used these complications were not seen. We conclude that external compression pins and clamps are best avoided unless stability cannot be achieved by internal fixation while carrying ankle arthrodesis.

Tuberculosis of the sternoclavicular joints.

From May 1991 to December 1997, we treated 9 patients with tubercular arthritis in 10 sternoclavicular joints. The patients presented with a painful swelling (7 joints), painless swelling (2 joints) and a painless (?) discharging sinus (1 joint) having a mean duration of symptoms of 13 (6-32) months. The diagnosis was made with fine-needle aspiration or open biopsy. In 1 patient debridement of the joint was combined with open biopsy. All patients were initially put on a 4-drug regimen of antitubercular therapy (ATT). 2 joints not responding to closed treatment were surgically debrided after 2-3 months of ATT. Total duration of ATT was 14-18 months. At final follow-up after average 4.5 (1.5-7.5) years, all lesions had healed. 3 patients had mild limitation of shoulder motion, with no pain, and 2 patients had a cosmetically ugly scar at the site of the sinus or biopsy.

Post-tuberculous ankylosis of temporomandibular joint

Tubercular infection of facial bones and Joints is very uncommon and especially tubercular ankylosis of temporo mandibular joint is extremely rare. Here we report a case of tubercular arthritis of temporomandibular joint presenting as Trismus.

Study of adenosine deaminase activity in various arthritic conditions

Aim of present study was to compare the adenosine deaminase (ADA) activity in various types of arthritis conditions with synovial effusion. No. significant difference was observed in ADA activity in serum of control and study groups but results have shown a definite pattern of ADA activity in synovial fluid in various arthritic conditions. The highest value of ADA activity was observed in synovial fluid of patients with tubercular arthritis followed by rheumatoid, septic, osteo and post traumatic arthritis. Thus measurement of ADA activity in synovial fluid can be used as a parameter of differential diagnosis of arthritis specially tubercular in initial stages.

"My Dear Miss Page" and "Demon Harry": Some Early Letters of W. E. Henley

William Ernest Henley (1849-1903), the poet, was a major influence on the literature of the 1890s, primarily through his criticism and his work as an editor of several journals. He was responsible for introducing much good literature to the English public, including works of Conrad, H. G. Wells, Yeats, and Kipling, and in art, the sculpture of Rodin. Henley a personality, and there are many testimonials to his influence on other authors. Yeats wrote that I, like many others, began under him my education, and We were young men, none as yet established in his own, or in the world's opinion, and Henley was our leader and our confidant.' Max Beerbohm said, do not much care about good criticism. I like better the opinions of strong, narrow, creative personalities. There more joy in my breast over one oath roared by Mr. Henley than over the ninety-and-nine just opinions of.. ... In a letter, Edmund Gosse wrote, admire his genius and have always supported it.3 And Kipling became for a while one of the happy company who used to gather in a little restaurant off Leicester Square and regulate all literature till all hours of the morning, and had the fortune to know him only as kind, generous, and a jewel of an editor with the gift of fetching the very best out of his cattle.4 Contemporary accounts suggest that Henley was an attractive figure. He seems to have been a large, boisterous man, wild-haired and red-bearded, a brilliant talker. A contemporary described him as lively, impulsive, enthusiastic, vigorous, full of vehement tastes and distastes, affectionate, and largely dominated by sentiment.' Robert Louis Stevenson, his friend, said he is a man of great presence; he commands a larger atmosphere. . . . It has been said of him that his presence could be felt in a room you entered blindfolded. He then, significantly, went on to mention powerful constitutions condemned to much physical inaction.6 Henley suffered from tubercular arthritis as a child and one foot amputated when he was eighteen. In his early twenties, the period covered by the letters which follow, he spent more than four years in two hospitals, in a battle to retain the remaining foot. In spite of pain and

Pan-arthrodesis for paralytic flail foot.

The Journal of Bone and Joint Surgery. British volumeVol. 33-B, No. 4 Clinical Reviews and StudiesFree AccessPAN-ARTHRODESIS FOR PARALYTIC FLAIL FOOTManuel Bastos AnsartManuel Bastos AnsartSearch for more papers by this authorPublished Online:1 Nov 1951https://doi.org/10.1302/0301-620X.33B4.503AboutSectionsPDF/EPUB ToolsAdd to FavouritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InRedditEmail FiguresReferencesRelatedDetailsCited ByAnkle arthrodesis in tubercular arthritis using anterior bridge plating: A report of 2 casesThe Foot, Vol. 24, No. 2Abordaje posterior de tobillo para la artrodesis tibioastragalocalcánea con clavo intramedular retrógrado: Modificación de la técnica quirúrgicaRevista Colombiana de Ortopedia y Traumatología, Vol. 27, No. 2Reconstruction of Multiplanar Ankle and Hindfoot Deformity with Intramedullary TechniquesFoot and Ankle Clinics, Vol. 14, No. 3PoliomyelitisCombined Subtalar and Ankle ArthritisFoot and Ankle Clinics, Vol. 12, No. 1Tibio-talo-calaneal arthrodesis by retrograde intramedullary nail and bone graftingFoot and Ankle Surgery, Vol. 12, No. 4Pantalar Arthrodesis With Screw Fixation for Stage 4 Posterior Tibial Tendon DysfunctionTechniques in Foot & Ankle Surgery, Vol. 2, No. 3Grade IV Pantalar Arthrodesis With IM NailingTechniques in Foot & Ankle Surgery, Vol. 2, No. 3Tibiotalocalcaneal Arthrodesis With Medullary Rod FixationTechniques in Foot & Ankle Surgery, Vol. 2, No. 2Ankle Fusion in Patients With Hindfoot ArthritisTechniques in Foot & Ankle Surgery, Vol. 1, No. 1Tibiotalocalcaneal arthrodesis by retrograde intramedullary nailing as a ‘salvage procedure’: clinical, radiographic and baropodometric evaluation of three casesFoot and Ankle Surgery, Vol. 8, No. 1Complications of Ankle and Tibiotalocalcaneal ArthrodesisClinical Orthopaedics and Related Research, Vol. 391Tibiotalocalcaneal Arthrodesis: Anatomic and Technical Considerations28 June 2016 | Foot & Ankle International, Vol. 19, No. 6Stress Fracture of the Tibia Following Extensive Hindfoot and Ankle Arthrodesis: A Report of Three Cases28 June 2016 | Foot & Ankle International, Vol. 16, No. 7Limited fusion for the flail valgus foot in poliomyelitisThe Foot, Vol. 3, No. 2Management of Acquired Adult Dropfoot30 August 2016 | Foot & Ankle, Vol. 13, No. 2Arthrodesis and ArthroplastyPantalar Arthrodesis: A Long-term Follow-up17 November 2016 | Foot & Ankle, Vol. 1, No. 5Ankle ArthrodesisDie Arthrodese des Sprunggelenks Vol. 33-B, No. 4 Metrics Downloaded 285 times History Published online 1 November 1951 Published in print 1 November 1951 InformationCopyright © 1951, The British Editorial Society of Bone and Joint Surgery: All rights reservedPDF download

The Bowel as a Focus of Sepsis in Chronic Rheumatic Disease

Before considering the bowel as a focus of sepsis in chronic rheumatic disease let us first contemplate chronic rheumatism as a whole, reviewing briefly as many of the predisposing and etiologic factors as we are able, and appraising them as accurately as possible, that we may reach a fair estimate of their relative importance, and in so doing arrive at a fairly accurate idea of the position held by septic foci in the bowel. This having been done we will be better able to indicate logical methods of therapy and ultimately to check the correctness of our reasoning through results of such therapy intelligently applied. First, just how many disease entities does the term chronic rheumatic disease embrace, and is sepsis in the bowel etiologically significant in all? If we accept the classification of the American Rheumatism Association such specific infections as gonorrhoeal, tubercular, and syphilitic arthritis must be included. Obviously sepsis in the bowel would have no etiologic significance in these, other than secondary or contributory. Again, we would be compelled to consider such conditions as backache, sciatica, gout, myositis, fibrositis, bursitis; allergic, metabolic, and endocrine arthritis; and still others, singly or in multiple. Sepsis in the bowel could certainly be excluded as a direct etiologic factor in some of these but not in all. It would be necessary to consider it in rheumatoid arthritis and possibly in osteo-arthritis. Thus early in our discussion we become aware not only of vague boundaries and overlapping of disease entities occasioned by specific and non-specific infection or by no infection at all, but also of identical entities, ultimate resultants of obviously differing combinations of etiologic factors. Likewise we are cognizant of the fact that infectious foci of identical nature may cause rheumatism in one individual, myocarditis or arteriosclerosis in another, or no disease at all in still a third.

The Seashore Treatment of the Tubercular Arthritis of Children

The Seashore Treatment of the Tubercular Arthritis of Children

Fibro-Plastic White Swelling, Tubercular Arthritis with Fibro-Plastic and Fatty Hyperplasia of the Synovial Membrane

Fibro-Plastic White Swelling, Tubercular Arthritis with Fibro-Plastic and Fatty Hyperplasia of the Synovial Membrane