Rehabilitation Treatment Of Tuberculosis Of The Knee Joint (Gonitis Tuberculosis) After Synovectomy Surgery: A Case Report
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Published:
Jun 27, 2024
Keywords:
Rehabilitation, Tuberculosis Of Knee, Synovectomy, exercise treatment, Diathermy
Main Article Content
Abstract
Introduction: The incidence of extrapulmonary tuberculosis (EPT) cases is increasing globally. with bones and joints being the most common sites, accounting for over 10% of occurrences. Tuberculosis of the knee is rare case, presents challenges in prompt diagnosis, leading to severe progressive pain and functional impairment that significantly impacts the patient's quality of life.
Case Persentation: A 42-year-old male patient experienced chronic pain in the right knee joint, stiffness and limitations when moving the knee. Physical examination showed swelling, warmth and redness. The range of movement of the knee was limited. Histopathological examination showed that the patient was diagnosed with tuberculosis of the knee. Synovectomy was performed after a diagnosis of tuberculosis of the knee and followed by a 9-month anti-tuberculosis drugs regimen. Knee range of motion (ROM) exercise and diathermy therapy showed clinical improvement after prompt management since the initiation of progressive rehabilitation therapy.
Conclusion: Tuberculosis of the knee is a rare complication of tuberculosis which has the potential to cause functional impairment and affect the quality of life. Providing physiotherapy interventions in the form of exercises and diathermy therapy in post-synovectomy cases for one year resulted in significant functional progress.
Case Persentation: A 42-year-old male patient experienced chronic pain in the right knee joint, stiffness and limitations when moving the knee. Physical examination showed swelling, warmth and redness. The range of movement of the knee was limited. Histopathological examination showed that the patient was diagnosed with tuberculosis of the knee. Synovectomy was performed after a diagnosis of tuberculosis of the knee and followed by a 9-month anti-tuberculosis drugs regimen. Knee range of motion (ROM) exercise and diathermy therapy showed clinical improvement after prompt management since the initiation of progressive rehabilitation therapy.
Conclusion: Tuberculosis of the knee is a rare complication of tuberculosis which has the potential to cause functional impairment and affect the quality of life. Providing physiotherapy interventions in the form of exercises and diathermy therapy in post-synovectomy cases for one year resulted in significant functional progress.
Article Details
How to Cite
Wahyudi, H., & Rama Susilawati, M. L. (2024). Rehabilitation Treatment Of Tuberculosis Of The Knee Joint (Gonitis Tuberculosis) After Synovectomy Surgery: A Case Report. Indonesian Journal of Physical Medicine and Rehabilitation, 13(01), 20 - 27. https://doi.org/10.36803/indojpmr.v13i01.401
Section
Case Report
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2. Gopalaswamy R, Dusthackeer VNA, Kannayan S, Subbian S. Extrapulmonary Tuberculosis—An Update on the Diagnosis, Treatment and Drug Resistance. Journal of Respiration. 2021 May 26;1(2):141–64.
3. Soeroso NN, Ananda FR, Rahmadhany H, Putra DD. Tuberculosis of the knee: A pitfalls in clinical settings (A case report and literature review). Int J Surg Case Rep. 2020 Jan 1;71:14–8.
4. Charisma AN, Koesoemoprodjo W. Diagnosis and Outcome of Tuberculosis of Knee Joint (Gonitis Tuberculosis) with Pulmonary Tuberculosis after Completing Anti-Tuberculosis Therapy: A Case Report. Jurnal Respirasi. 2021 Jan 30;7(1):19.
5. Rodriguez-Takeuchi SY, Renjifo ME, Medina FJ. Extrapulmonary tuberculosis: Pathophysiology and imaging findings. Radiographics. 2019 Nov 1;39(7):2023–37.
6. Gambhir S, Ravina M, Rangan K, Dixit M, Barai S, Bomanji J. Imaging in extrapulmonary tuberculosis. Vol. 56, International Journal of Infectious Diseases. Elsevier B.V.; 2017. p. 237–47.
7. Dantas LO, Salvini T de F, McAlindon TE. Knee osteoarthritis: key treatments and implications for physical therapy. Vol. 25, Brazilian Journal of Physical Therapy. Revista Brasileira de Fisioterapia; 2021. p. 135–46.
8. Cruz Ayala JA, Crawford M, Gatterer MC, Tovar M, Rivera JC, Dasa V, et al. Using the articularis genu to test peri-articular muscle health during knee osteoarthritis. Sci Rep. 2022 Dec 1;12(1).
9. Gunton A, Losie J, Connors W. Tuberculous monoarthritis of the knee joint. CMAJ Canadian Medical Association Journal. 2023 Jun 5;195(22):E782–5.
10. Dávila Castrodad IM, Recai TM, Abraham MM, Etcheson JI, Mohamed NS, Edalatpour A, et al. Rehabilitation protocols following total knee arthroplasty: a review of study designs and outcome measures. Ann Transl Med. 2019 Oct;7(S7):S255–S255.
11. Pakosz P, Konieczny M, Domaszewski P, Dybek T, Gnoiński M, Skorupska E. Comparison of concentric and eccentric resistance training in terms of changes in the muscle contractile properties. Journal of Electromyography and Kinesiology. 2023 Dec 1;73.
12. Ozen S, Doganci EB, Ozyuvali A, Yalcin AP. Effectiveness of continuous versus pulsed short-wave diathermy in the management of knee osteoarthritis: A randomized pilot study. Caspian J Intern Med. 2019;10(4):431–8.