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Chapter-052 Tuberculosis of the Sacroiliac Joints

BOOK TITLE: Textbook of Orthopedics & Trauma (4 Volumes)

Author
1. Tuli SM
ISBN
9789385891052
DOI
10.5005/jp/books/12869_53
Edition
3/e
Publishing Year
2016
Pages
2
Author Affiliations
1. Banaras Hindu University, Varanasi, India, University College of Medical Science and Guru Teg Bahadur Hospital, New Delhi, Delhi University College of Medical Sciences and GTB Hospital, New Delhi, India, Vidyasagar Institute of Mental Health and Neurosciences, Nehru Nagar, New Delhi, India, Vidyasagar Institute of Mental Health and Neurosciences, New Delhi, India, Vimhans PrimaMed Super Speciality Hospital, New Delhi, India, Vidyasagar Institute of Mental Health and Neurosciences, Nayati Medical Institutes, New Delhi, India, Vidyasagar Institute of Mental Health and Neurosciences, Vimhans Nayati Superspeciality Hospital, New Delhi, India
Chapter keywords
tuberculosis, sacroiliac joint, lumbar vertebrae, rheumatoid disease, tomography, antituberculous drug, biopsy

Abstract

This chapter discusses tuberculosis of the sacroiliac joints. Sacroiliac joint is a true synovial joint and therefore subject to tuberculous infection like any other joint. The disease may originate in the lateral masses of sacrum, from the ilium or from the synovial membrane. Rarely the disease may spread from or coexist with tuberculosis of lower lumbar vertebrae or ipsilateral hip disease. Ankylosing spondylitis in early stages, rheumatoid disease, and pyogenic infection and juxta-articular lesions should be considered in differential diagnosis. Clinical feature and differential diagnosis of tuberculosis of the sacroiliac joints are also discussed in this chapter. The disease takes an insidious course and the patient has persistent pain localized to the diseased area. Conservative treatment as for lower lumbar disease gives satisfactory outcome. In early stages when the disease is active and painful, antitubercular drugs and recumbency are indicated.

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