Bilateral pathological dislocation of the hip secondary to tuberculous arthritis following disseminated tuberculosis:  a case report and review of the literature.
Pathological dislocation of the hip has been reported as a complication in various hip disorders. Several pathomechanisms including capsular laxity, synovial hypertrophy, and acetabular and proximal femur destruction have been described. We report a case of bilateral pathological dislocation of the hip in a 6-year-old girl secondary to tuberculous arthritis following disseminated tuberculosis, which we managed operatively. At the 18-month follow-up, the child had a clinically stable left hip despite radiological subluxation. Bilateral pathological dislocation of the hip associated with tuberculous arthritis is a rare condition and has never been reported in the literature.
Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India. naveen.st@gmail.com
Naveen
N
Tahasildar
Pebam
P
Sudesh
Sujit Kumar
SK
Tripathy
B K
BK
Shashidhar
D000995:Antitubercular Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000382:microbiology / Q000473:pathology*; D002648:Child; D004359:Drug Therapy, Combination; D005260:Female; D006617:Hip Dislocation / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D007593:Joint Instability; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D011859:Radiography; D016896:Treatment Outcome; D014394:Tuberculosis, Osteoarticular / Q000150:complications / Q000188:drug therapy / Q000473:pathology*
D000995:Antitubercular Agents