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Orthopaedics
Isolated tuberculosis of the patella mimicking as prepatellar bursitis
  1. Rashid Anjum1,
  2. Vivek Sharma2 and
  3. Navdeep Singh2
  1. 1Department of Orthopedics, All India Institute of Medical Sciences Jammu, Vijaypur, Jammu and Kashmir, India
  2. 2Department of Orthopaedics, Government Medical College Kathua, Kathua, Jammu and Kashmir, India
  1. Correspondence to Dr Rashid Anjum; raashidanjum{at}gmail.com

Abstract

Patellar tuberculosis (TB) is a rare manifestation of musculoskeletal tuberculosis, accounting for a small proportion of cases. This case report presents a detailed analysis of a female patient in her early 30s who presented with isolated TB of the patella without concurrent pulmonary involvement. The patient received antitubercular chemotherapy, consisting of a 4-month intensive phase followed by an 8-month continuation phase. This case report underscores the rarity and diagnostic complexities associated with patellar TB. The condition often presents with non-specific symptoms, often mimicking prepatellar bursitis, necessitating a high level of clinical suspicion, particularly in patients from the endemic areas. Radiographic imaging and histopathological examination play crucial roles in establishing an accurate diagnosis. Antitubercular chemotherapy forms the cornerstone of treatment while surgical intervention is reserved for cases of extensive bone destruction or treatment failure.

  • Tuberculosis
  • Orthopaedics

https://doi.org/10.1136/bcr-2024-261535

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    Footnotes

    • Contributors All authors were responsible for drafting the text, sourcing and editing clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content. All authors gave final approval of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.