Coxitis Tuberculous

Topic: Coxitis - tuberculosis disease Coxitis is a heterogeneous group of inflammatory-dystrophic diseases of the hip joint, including epiphyseal coxitis, coxitis of the ilium and accessory (articular-epiphyseal) bone. The cause of the disease is tuberculosis. This disease is accompanied by damage to the upper limb, and sometimes several joints. A long course of coxitis contributes to the emergence and development of deforming arthrosis. The most common type of tuberculous coxitis is epiphyseal coxitis. It most often develops in children aged 4-7 years. But as the child’s body grows, “progression of the pathological process” occurs. Therefore, later the disease can occur not only in childhood, but also in adults after hip fractures and infectious diseases. The stage of the disease corresponds to the stages of development of tuberculoma in the stage of destruction. There are pre-infiltrative, infiltrative and post-tuberculosis stages of development. In the pre-infiltrative stage, tuberculoma does not manifest any symptoms. This condition is called "asymptomatic". It can go unnoticed and occur hidden. However, later symptoms appear that indicate the presence of tuberculoma. The epiphyseal bone swells, the child suffers from pain in the joint area. Gradually, curvature of the femur occurs. When X-raying the joints, you can notice an enlarged and clearly defined epiphysis. Symptoms of the disease intensify during sports, physical activity and sneezing. The progression of childhood coxitis can lead to osteoporosis of the femoral head. In this case, the pain becomes severe, the joint is severely deformed, and the child refuses to walk. Deformation of the hip is accompanied by a peculiar Dupuytren's symptom, which occurs with simultaneous deformation of the elbow joint. If the knee joint or ankle is inflamed, the patient may develop symptomatic tuberculosis of the hand bones. The infiltrative period is characterized by a sharp increase in pain in the affected area. An increase in temperature is observed. Pain may occur when the joint moves or when pressure is applied to it. The child begins to limp and refuses to play and walk, as it is very painful. The process of inflammation spreads to the soft tissue that is located around the joint. As a result of this pathology, the bone begins to take on an asymmetrical appearance. The joint swells and stiffness develops. Dark red spots can be seen on the surface of the joint. The x-ray clearly shows the narrowing of the joint space. Atrophy of the limb muscles begins. Pelvic deformity develops. If there is no treatment, The asthenic stage of coxitis begins. Against the background of manifestations of manifestations