PMC3474948_01
Initial X-ray of the right pelvis showing only a slight joint
space narrowing with affection of the acetabulum and the femoral
head.
TOORTHJ-6-445_F1.jpg
PMC3474948_01_TOORTHJ-6-445_F1.jpg
F1
X-ray of the right pelvis showed a slight joint space narrowing with affection of the acetabulum and the femoral head (Fig. 1).
X-ray of the right pelvis 3 months after diagnosis with
increasing patchy transparence in the femoral head and neck as well
as in the greater trochanter and acetabulum with clear progressive
joint space narrowing.
TOORTHJ-6-445_F2.jpg
PMC3474948_01_TOORTHJ-6-445_F2.jpg
F2
Three months later X-ray showed an increasing patchy transparency in the femoral head and neck as well as in the greater trochanter and acetabulum with clear progressive joint space narrowing in the corresponding parts of the hip joint (Fig. 2).
MRI 5 months after starting the oral therapy showing an
active arthritis with progressive destruction of the right hip joint
and liquid retention in the right acetabulum as a sign of tuberculous
osteomyelitis (see black arrow).
TOORTHJ-6-445_F3.jpg
PMC3474948_01_TOORTHJ-6-445_F3.jpg
F3
A complementary MRI with contrast medium five months after starting therapy showed active arthritis with progressive destruction of the right hip joint and a new appearance of liquid retention in the right acetabulum as a sign of tuberculous osteomyelitis (Fig. 3).
X-ray oft the right pelvis 1 year after diagnosis showing a
progressive sclerosis of the acetabulum with decreasing joint space
narrowing.
TOORTHJ-6-445_F4.jpg
PMC3474948_01_TOORTHJ-6-445_F4.jpg
F4
The ROM of the hip joint in spite of the radiological findings with progressive sclerosis in the acetabulum and joint space narrowing (Fig. 4) was satisfactory measured with 125  for flexion, 35  for abduction, 20  for adduction, 5  for internal rotation and 30  for external rotation.