title: Failed Radiation Synovectomy in Diseased Knee Joint with Missed Tuberculous Synovitis.
abstract: The authors in this case report highlight the poor outcome of radiation synovectomy (RSV) for repeated knee joint effusion in a patient with histopathologically proven nonspecific arthritis. There was partial response initially following RSV but later follow-up showed recurrence in joint effusion with limited and painful mobility of the knee joint. Subsequent surgical synovectomy and histopathological examination showed it to be tubercular in origin. Thus in a country endemic for tuberculosis, an alternative infective etiology should also be kept in mind before subjecting the patient to RSV.
authors.affiliation: Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab and Haryana, India.
authors.forename: Ashwani
authors.initials: A
authors.lastname: Sood
authors.affiliation: Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab and Haryana, India.
authors.forename: Aman
authors.initials: A
authors.lastname: Sharma
authors.affiliation: Department of Orthopedics, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab and Haryana, India.
authors.forename: Devendra Kumar
authors.initials: DK
authors.lastname: Chouhan
authors.affiliation: Department of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab and Haryana, India.
authors.forename: Kirti
authors.initials: K
authors.lastname: Gupta
authors.affiliation: Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab and Haryana, India.
authors.forename: Rahul
authors.initials: R
authors.lastname: Parghane
authors.affiliation: Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab and Haryana, India.
authors.forename: Jaya
authors.initials: J
authors.lastname: Shukla
authors.affiliation: Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab and Haryana, India.
authors.forename: Bhagwant Rai
authors.initials: BR
authors.lastname: Mittal
keywords: Radiation synovectomy; Rhenium-188 (Re-188) tin colloid; tuberculous synovitis