Tuberculosis of greater trochanter presenting as avulsion fracture of greater trochanter-A case report

Dulani, Rajesh; Gupta, Gagandeep; Singh, Pradeep K; Mundada, Gaurav; Sahu, Abhijit

doi:10.1016/s2222-1808(13)60062-6

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2022

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“…There is an ongoing debate on treatment options for avulsion of the lesser trochanter where few authors prefer fixation over conservative management and vice versa 10 . For traumatic avulsion in the adolescent, McKinney et al presented a classification system to help guide management, according to which most patients can be managed with conservative treatment except those who are symptomatic with a nonunion or painful exostosis 11 .…”

Section: Discussionmentioning

confidence: 99%

Tuberculosis Challenging Pathognomicity of Atraumatic Avulsion of the Lesser Trochanter for Malignancy

Sharma

Kamboj

Kumar

et al. 2022

JBJS Case Connector

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Case: A 40-year-old man presented with spontaneous, atraumatic right groin pain and inability to bear weight secondary to an isolated avulsion of the right lesser trochanter. Magnetic resonance imaging of the affected hip was suggestive of an infection, and a computed tomography-guided biopsy was remarkable for Mycobacterium tuberculosis, which was successfully managed with antitubercular therapy and activity modification. Conclusion:Although an isolated spontaneous avulsion of the lesser trochanter is typically pathognomonic for malignancy, an infectious etiology, such as tuberculosis, should also be considered in the differential diagnosis. Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B890).

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Section: Discussionmentioning

confidence: 99%