Tuberculosis of the Skeleton: Focus on Radiology

ISBN-13: 9783642746673 / Angielski / Miękka / 2011 / 174 str.

Cornelis J. P. Thijn; Jieldouw T. Steensma; E. G. Theros

Opis

An overview of the radiologic manifestations of tuberculosis in most of the skeletal bones and joints is given in this book. The basic material is taken from 460 manifestations of the disease recorded at the Beatrixoord Hospital in the Netherlands over a period of 30 years. Special attention is given to the changing radiologic aspect of the localizations during the course of the disease. Most of the illustrations are based on conventional radiography, but examples of the use of scintigraphy, computed tomography and magnetic resonance are also presented. Chapters on pathogenesis, clinical findings, other diagnostic methods and therapy complete the book.

Spis treści

1 Pathogenesis.- 1.1 Species and Types of Mycobacteria.- 1.2 Genetic Influences: HLA-DR.- 1.3 Development of Cellular Immunity and Hypersensitivity Reaction to Mycobacterial Antigens.- 1.4 Endogenous Reactivation.- 2 Clinical Findings.- 3 Diagnostic Methods.- 3.1 Patient and Family History.- 3.2 Symptoms and Signs.- 3.3 Laboratory Findings.- 3.4 Tuberculin Skin Test.- 3.5 Biopsy or Puncture.- 3.6 Bacteriology.- 3.7 Histology.- 3.8 Imaging Modalities.- 4 Epidemiology of Bone and Joint Tuberculosis.- 5 Tuberculous Spondylitis.- 5.1 General Remarks.- 5.2 Radiologic Modalities.- 5.3 Usual Presentation of Tuberculous Spondylitis.- 5.4 Radiologic Findings.- 5.5 Differential Diagnosis.- 6 Tuberculous Arthritis.- 6.1 General Remarks.- 6.2 Radiologic Modalities.- 6.3 Correlation Between Pathology and Radiology.- 6.4 General Radiologic Findings.- 6.5 Differential Diagnosis.- 7 Tuberculous Affection of the Upper Limb Joints.- 7.1 Shoulder.- 7.2 Elbow.- 7.3 Wrist and Hand.- 8 Tuberculous Affection of the Lower Limb Joints.- 8.1 Hip.- 8.2 Knee.- 8.3 Ankle and Foot.- 9 Sacroiliac Joint.- 9.1 Pathology.- 9.2 Radiologic Findings.- 9.3 Differential Diagnosis.- 10 Tuberculous Osteomyelitis.- 10.1 Long Tubular Bones.- 10.2 Pubis, Symphysis, Ischium, and Ilium.- 10.3 Ribs and Sternum.- 10.4 Greater Trochanter.- 10.5 Cranium.- 11 Therapy of Skeletal Tuberculosis.- 11.1 General Therapeutic Measures.- 11.2 Immobilization.- 11.3 Medicamentous Therapy.- 11.4 Surgical Therapy.- 11.5 Rehabilitation.- References.