[Current viewpoints on osteoarticular tuberculosis].

Abstract

Nowadays the osteoarticular tuberculosis is a disease of adult and senile age. Among my own patients were most frequently affected the spinal column (55.7%), the hip-joint (10.1%) and the knee-joint (9.4%). If other diagnostic methods fail, to the interest of an early ascertainment of the diagnosis the performance of a test excision should not be delayed. On modern conditions a conservative treatment is sufficient in most cases and achieves good results. Here, the chemotherapy follows the usual directives, in which cases on account of the lacking proof of causative organisms frequently must be issued from the probable position of resistance. Excluding early diagnosed, purely synovial tuberculoses of the joint in young patients, even nowadays every tuberculous skeletal focus needs immobilisation. In case that conservative therapy does not lead to an improvement of the findings, operative measures are indicated. Here, the removal of the focus is the first place. A final solution of the problem of the osteoarticular tuberculosis is to be expected above all within the general combat against tuberculosis.

• Authors: D Jaster
• Journal: Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete (Z Gesamte Inn Med) Vol. 33 Issue 19 Pg. 717-26 (Oct 01 1978) ISSN: 0044-2542 [Print] Germany
• Vernacular Title: Aktuelle Gesichtspunkte zur osteoartikulären Tuberkulose.
• PMID: 735240 (Publication Type: Journal Article)

Topics

• Adolescent
• Adult
• Aged
• Amputation, Surgical
• Arthrodesis
• Child
• Climate
• Diagnosis, Differential
• Female
• Humans
• Knee Joint (surgery)
• Male
• Middle Aged
• Osteomyelitis (diagnosis)
• Physician-Patient Relations
• Prognosis
• Spinal Diseases
• Synovectomy
• Tuberculosis, Osteoarticular