The article is consulted professionally by Dr. Pham Quoc Thanh – Doctor of Diagnostic Imaging – Department of Diagnostic Imaging – Share99 Hai Phong International Health Hub
And Master, Dr. Tong Tender Huong – Imaging Doctor – Department of Diagnostic Imaging – Share99 Nha Trang International Health Hub.
X-rays are a very common imaging tool, especially bone x-ray in osteoarthritis. Even second-degree tuberculosis lesions, X-rays of osteoarthritis and tuberculosis joints are useful, helping doctors to make appropriate diagnosis and treatment early, limiting the patient's symptoms while the clinical symptoms remain unclear.
1. What is tuberculosis osteoarthritis and joints?
Tuberculosis is a public health issue that is always of interest in all countries of the world, especially developing countries and industrialized countries. Some factors contributing to the increase in the incidence of tuberculosis in the community are due to the aging population, accompanying diseases such as diabetes mellitus, chronic renal failure, obstructive pulmonary disease, cirrhosis, lymphocyte dysfunction, immuno impairment … and various socio-economic factors such as alcohol use, drugs, poverty, homelessness … In cases of the disease, tuberculosis germs that cause disease in the lungs are the most common diseases.
However, the med muscle and joint system may also be involved in this pathology at the rate of 1 to 3% of patients with tuberculosis. Many epidemiological studies show that meso-osteoarthritis is always a problem after tuberculosis lesions in the lungs, which can occur in one or at the same time many locations such as: spine, hips, knees, feet, elbows, wrists, hands, shoulders.
In particular, tuberculosis spinal inflammation is the most common form of osteoarthritis damaged by tuberculosis and accounts for about 50% of cases. In general, osteoarthritis usually occurs in large joints.
Early diagnosis and timely treatment are necessary to prevent serious destruction in bone tuberculosis as well as joints caused by tuberculosis loss of function. However, due to nons specific and often unclear clinical manifestations, the diagnosis may be delayed. Regardless of the condition, evaluating the patient with bone x-rays is always the first step in the diagnosis of patients with mesential and joint tuberculosis. From there, patients will be scheduled for early treatment, which may include surgical intervention.
2. Pathogenesis of tuberculosis osteoarthritis and joints
Bones, joints can be a targeted body of attack from tuberculosis germs through the bloodstream, from a main lesion, usually in the lungs or lymphatic system. Mycobacterium tuberculosis is an agent in most cases of osteoarthritis although atypical strains of mycobacteria have also been reported in lesions of synapses.
Tuberculosis osteoarthritis and joints are initially a locally developed granuloma lesion. As the infection progresses more severely, the organization of infected tissue spreads, central necrosis and laxation necrosis gradually spread. Further progress and under-controlled disease can lead to bone destruction.
Finally, the osteoarthritis organization changes its structure, deforms and impairs function. If treated with early sterilization, sensitivity and sufficient time, damage after osteoarthritis and tuberculosis joints can be recovered, especially on good terrain. Consternation, loss of control will destroy the local meso-fivert system, the patient is at risk of permanent loss of mobility and although treatment is difficult to improve long-term mobility.
3. How are X-rays of osteoarthritis and joints caused by tuberculosis?
In terms of location, almost any bone can be affected, but bone tuberculosis occurs most commonly in the bones of the spine and limbs, including small bones of the hands and feet. Tuberculosis in the ribs is also common. Patients can be detected with a single lesion in place or at the same time with multiple bone lesions in various locations.
As soon as the patient has complaints about a certain position on the joints, the usual X-ray in osteoporosis may show signs such as minimal membrane reactions, bone destruction and bone erosion, osteoporosis around the bones; at the same time, neighboring soft tissue areas also show signs of swelling, infiltration of inflammatory diseases.
Compared to purulent osteoarthritis, osteoporosis usually progresses more slowly but is easier to spread, silently destroying bones for a long time. In some cases, patients who go to the doctor due to prolonged soreness, X-rays have seen signs of sclerosis or gaps caused by cystic tuberculosis, causing cystic damage in the bones that completely change the bone structure.
For tuberculosis joint damage, this pathology also occurs in various joint locations at the same time or individually. However, incidence is common in children, while in adults, tuberculosis germs often attack limited to a single bone. At the same time, signs on X-rays of osteoarthritis and tuberculosis-in-arthritis may be slightly different in children than in adults.
In young patients, lesions are usually osteoblasts and are well defined, do not suffer from sclerosis and may show varying sizes. This is explained by the child still in the stage of bone development. Therefore, the rate of spread of the lesion area is sometimes difficult to control. In adults, on the contrary, the lesions are smaller, located in the long bone shaft and can show well-defined slerosis edges.
In addition, extra-axial osteoarthritis may include a variety of tissues such as muscles, tendons, ligaments or synapses in the joint socket or combine many of these antomical details at the same time. Besides X-rays, the original simple imaging tool, patients can be prescribed additional means such as CT, mri osteoarthritis.
These are useful tools, providing authentic, valuable images for accurate diagnosis and evaluation of meselecular tuberculosis as well as complications of the disease such as soft tissue anemps, joint effic spills, tendon and ligament level lesions …
4. How to treat osteoarthritis and tuberculosis joints?
Similar to tuberculosis lesions in other body systems, anti-tuberculosis drugs also play a central role in the treatment regimen for osteoarthritis and tuberculosis joints. The course of therapy needs to last at least 12 to 18 months. Osteoarthritis and tuberculosis if met well will show a decrease in incense destruction, bone density improves through X-ray signs becoming stiffer.
Cons, if osteoarthritis and joints do not improve, it may be because the patient does not comply with the medication, due to misdiagnosis such as metalysed bone disease or bone cancer or by infection with drug-resistant tuberculosis.
In addition, patients with tuberculosis joint damage should also be prescribed the use of joint splint means. The affected joint must be fixed in a functional position. Even the spinal joints will need an appropriate splint tool. The fixation of the joint, limiting movement will help the lesion in place, including other antomical details in the joint socket more quickly recover.
Besides, surgery also plays a role in the treatment of osteoarthritis and joints caused by tuberculosis but to a relatively limited extent. Surgical indicated is usually in place in the late stages, when the orthopedic doctor assesses that it is necessary to repair the damage caused by tuberculosis germs, such as fractures caused by bone destruction, severe osteochondrosis …
Clinical manifestations of patients with mesvertebum tuberculosis are often little noted that delay the diagnosis. However, with the characteristics of X-ray images of osteoarthritis and joints caused by tuberculosis this is a useful tool. From there, the timely diagnosis and treatment of the disease will help improve motor function for the patient, prevent joint deformity and permanent bone destruction. This is an important technique, the first in imaging to accurately assess the lesions in the joints. The snapshot time is only about 5-7 minutes and the patient will receive the result after the scan from 15-30 minutes.
Patients with osteoarthritis can visit Share99 International Hospital for examination and treatment. Here, a team of professional doctors in mesent muscle and joints are well-trained, professional and experienced; Modern X-ray system brings outstanding advantages and owns a standard imaging room of the Ministry of Health and PACS system to help bring good treatment results for patients.
For detailed advice on bone tuberculosis and treatment, please visit Share99 health system directly or register for an online examination HERE.
Source: .ncbi.nlm.nih.gov, dynamed.com, sun.ac.za, medscape.com, pubs.rsna.org,
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