Roentgenological manifestations of metatuberculous coxarthrosis in adults

• Published in: Ortopedija, travmatologija i protezirovanie no. 5; p. 17
• Main Author: Sovetova, N A
• Format: Journal Article
• Language: Russian
• Published: Russia (Federation) 01.05.1990
• Subjects: Adolescent; Adult; Arthrography; Diagnosis, Differential; Female; Hip Joint - diagnostic imaging; Humans; Male; Middle Aged; Osteoarthritis, Hip - diagnostic imaging; Tuberculosis, Osteoarticular - diagnostic imaging
• ISSN: 0030-5987

The author has studied the clinical and roentgenologic findings of 68 patients (33 males and 35 females) aged 19 to 60 who had tuberculosis of the hip joint or of the greater trochanter and were cured by conservative means or with palliative and late surgical interventions. The disturbances in the trophics and in the formation of the joint acquired during the process of inflammation as well as the anatomic losses of destructive character became the basis for the development of metatuberculous coxarthroses at stages II and III in these patients, which occurred under the influence of statodynamic loads in pathologic conditions. The roentgenologic picture of metatuberculous coxarthroses is polymorphic; it depends to a certain extent on the age of the beginning of the tuberculous process and is accompanied by pronounced productive reactions of the bone tissue. In essence it corresponds to the manifestations of coxarthroses of other origins, but it also has some peculiarities consisting mainly in the presence of traces of trophic changes in the bone tissue and in the residual signs of the destruction that had taken place which are characteristic of tuberculosis of bones and joints.