髋关节结核（Tuberculosis of hip joint）.docVIP

髋关节结核（Tuberculosis of hip joint） Tuberculosis of hip joint accounts for third of the incidence of tuberculosis of bones and joints. Children are more common, unilateral majority. Pathology: early tuberculosis of the hip joint was simple synovial tuberculosis or simple bone tuberculosis, with simple synovial tuberculosis. The predilection site of simple bone tuberculosis is the marginal portion of the femoral head or the iliac portion of the acetabulum (Figs 70 - 8). Late onset of cold abscess and pathological dislocation. A cold abscess can develop from the weak point of the anterior inner hip joint to the medial side of the groin, and may also flow to the rear and become a cold abscess of the hip. Clinical manifestations: onset of slow, low fever, fatigue, fatigue, loss of appetite, weight loss and anemia and other systemic symptoms. Most of them are solitary, and the early symptoms are pain. The pain is not severe at the beginning and will improve after the rest. The children showed the night crying. Children often complain of knee pain, and if you do not pay attention, it will delay the diagnosis. As the pain grew, there was a limp. Later, cold abscesses can occur on the inside of the groin and hip. After breaking into chronic sinus. When the destruction of the femoral head is obvious, a pathological dislocation will occur, usually posterior dislocation. After the healing, all kinds of deformities will be left, including hip flexion, adduction, internal rotation, hip ankylosis and leg length inequality, which are the most common. The following examination tests are helpful for diagnosis: 1.4 word test: this experiment includes hip flexion, abduction and external rotation of the three movements, hip tuberculosis should be positive for this test. The method is as follows: the patient supine on the examination table, curled up the limb, the lateral malleolus resting on the unaffected limb above the patella, press the ipsilateral knee examination by hand. If you suff