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Les trochantérites tuberculeuses

Tuberculosis of the greater trochanter

A propos de 17 cas

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Summary

This paper presents a short study of 17 cases of tuberculosis of the greater trochanter seen during a period of 19 years at the National Orthopaedic Institute in Tunis. The onset of the infection is slow with patients presenting at a mean of 7 years after initial symptoms. The diagnosis is confirmed by biopsy and culture of the organism. Management is based on treatment with antituberculous drugs, although surgical excision of the lesion is sometimes required. Successful resolution of the symptoms is usually achieved unless the hip joint becomes involved. Our patients showed good results at a mean follow up of 5 1/2 years.

Résumé

Ce travail porte sur 17 cas de trochantérite tuberculeuse observés à l'Institut National d'Orthopédie de Tunis en 19 ans. L'étude clinique montre le caractère très latent de l'affection, le délai moyen de consultation étant de 7 ans. La confirmation du diagnostic repose toujours sur la biopsie et la recherche de BK. Le traitement reste essentiellement médical, basé sur la chimiothérapie antituberculeuse, éventuellement associée à un geste chirurgical. L'évolution sous traitement bien conduit est le plus souvent favorable, sauf en cas d'atteinte secondaire de la hanche. Les résultats dans notre série sont tous satisfaisants, avec un recul moyen de 5 ans et demi.

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Authors and Affiliations

  1. Institut National d'Orthopédie Mohamed Kassab Mannouba, 2010, Tunis

    S. Karray, M. Karray, K. Ayadi, M. Zouari, M. Zlitni, M. Douik, T. Litaiem & N. Slimane

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  1. S. Karray
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  2. M. Karray
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  3. K. Ayadi
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  4. M. Zouari
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  5. M. Zlitni
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  6. M. Douik
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  7. T. Litaiem
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  8. N. Slimane
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Karray, S., Karray, M., Ayadi, K. et al. Les trochantérites tuberculeuses. International Orthopaedics 17, 313–319 (1993). https://doi.org/10.1007/BF00181708

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