Q. Which of the following radiological feature in below radiograph of a patient with right hip pain and limp is least suggestive of osteoarticular tuberculosis ?
a. Reduced joint space
b. Juxtaarticular osteoporosis
c. peripheral osseous erosion/lesion
d. Mono articular disease
Answer -
d
Osteoporosis around the affected joint, gradual decrease in joint space and destructive peripherally located lesion are common features of tubercular arthritis and this is called 'Phemister triad'.
The classic pattern of disease was mono- articular but this is a commoner presentation and not a rule.
Tuberculosis can affect immunocompetent individual, and can involve more than one joint ( oligo or poly arthritis) or may preaent without constitutional features.
a. Reduced joint space
b. Juxtaarticular osteoporosis
c. peripheral osseous erosion/lesion
d. Mono articular disease
Answer -
d
Osteoporosis around the affected joint, gradual decrease in joint space and destructive peripherally located lesion are common features of tubercular arthritis and this is called 'Phemister triad'.
The classic pattern of disease was mono- articular but this is a commoner presentation and not a rule.
Tuberculosis can affect immunocompetent individual, and can involve more than one joint ( oligo or poly arthritis) or may preaent without constitutional features.
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