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Editorial

Volume 10 | Issue 1 | January-April 2024 | Page: 01 | Jayanth S. Sampath DOI- https://doi.org/10.13107/ijpo.2024.v10.i01.170 Authors: Jayanth S. Sampath FRCSEd (Tr & Orth) [1] [1] Department of Orthopaedics, Rainbow Children’s Hospital, Bangalore, Karnataka, India. Address of Correspondence Dr. Jayanth S. Sampath, Rainbow Children’s Hospital, Bangalore, Karnataka, India. E-mail: editor.posi.ijpo@gmail.com Editorial The current issue […]

Musculoskeletal Tuberculosis in Children

Volume 9 | Issue 3 | September-December 2023 | Page: 28-34 | Santoshini Nemuri, Mandar Agashe DOI- https://doi.org/10.13107/ijpo.2023.v09.i03.160 Authors: Santoshini Nemuri MS Ortho [1], Mandar Agashe MS Ortho [1] [1] Department of Orthopaedics, Agashe Paediatric SuperSpeciality Clinic, Mumbai, Maharashtra, India. Address of Correspondence Dr. Mandar Agashe Chief consultant, Department of Orthopaedics, Agashe Paediatric SuperSpeciality Clinic, […]

Editorial

Musculoskeletal Tuberculosis in Children

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Editorial

Volume 10 | Issue 1 | January-April 2024 | Page: 01 | Jayanth S. Sampath

DOI- https://doi.org/10.13107/ijpo.2024.v10.i01.170

Authors: Jayanth S. Sampath FRCSEd (Tr & Orth) [1]

[1] Department of Orthopaedics, Rainbow Children’s Hospital, Bangalore, Karnataka, India.

Address of Correspondence

Dr. Jayanth S. Sampath,
Rainbow Children’s Hospital, Bangalore, Karnataka, India.
E-mail: editor.posi.ijpo@gmail.com

Editorial

The current issue of IJPO is marked by several improvements that have been long overdue. The most important was the constitution of an Editorial Board of ten POSI members, responsible for day-to-day journal affairs. As editor, it is a pleasure to see more hands on deck. Our lead time for the publication of new issues is currently 3 months. The profiles of the new Editorial Committee members are available on the IJPO website. Our social media presence has improved through regular updates on Instagram and Facebook. We thank Dr Easwar T Ramani, POSI Webmaster for the efforts to improve the visibility and accessibility of the POSI journal. We have renewed our efforts to accredit the journal with reputed international indexing bodies.
This issue is dedicated to various aspects of cerebral palsy, an important problem in our practice. The lead article is the Indian hip surveillance guidelines for children with cerebral palsy. The result of over 2 years’ effort by POSI, led by senior members Dr Ashok Johari, Dr Dhiren Ganjwala and Dr Alaric Aroojis, the guidelines provide practical advice to the clinician for the early diagnosis of hip displacement in cerebral palsy. We have followed this with a mini-symposium on lever arm dysfunction. Starting with a basic refresher on biomechanics, subsequent articles provide a detailed account of how lever arm dysfunction affects normal function in a child with cerebral palsy, the importance of clinical examination for accurate diagnosis, the role of various investigations including gait analysis and the management of lever arm dysfunction at different levels from the hip to the foot. The symposium finishes with a flourish, a comprehensive guide to the management of upper limb problems in CP. I am sure every article in this issue will add to your understanding of cerebral palsy. Please do share the articles with your trainees and fellows. IJPO issues are easily downloadable free of charge and in full-text format from our website www.ijpoonline.com
We invite your suggestions and comments for any improvements to the journal. Kindly write to us editor@ijpo.com
It is my pleasure to acknowledge the contributions of authors, reviewers, editors, and the backend team who have been instrumental in bringing out this issue. The cover page artwork acknowledges the importance of hip surveillance in cerebral palsy.

Sincerely

Dr Jayanth S Sampath
Editor,

International Journal of Paediatric Orthopaedics

How to Cite this Article: Sampat JS | Editorial | International Journal of Paediatric Orthopaedics | January-April 2024; 10(1): 01. https://doi.org/10.13107/ijpo.2024.v10.i01.170

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Musculoskeletal Tuberculosis in Children

Volume 9 | Issue 3 | September-December 2023 | Page: 28-34 | Santoshini Nemuri, Mandar Agashe

DOI- https://doi.org/10.13107/ijpo.2023.v09.i03.160

Authors: Santoshini Nemuri MS Ortho [1], Mandar Agashe MS Ortho [1]

[1] Department of Orthopaedics, Agashe Paediatric SuperSpeciality Clinic, Mumbai, Maharashtra, India.

Address of Correspondence

Dr. Mandar Agashe
Chief consultant, Department of Orthopaedics, Agashe Paediatric SuperSpeciality Clinic, Mumbai, Maharashtra, India.
E-mail: mandarortho@gmail.com

Abstract

Paediatric musculoskeletal tuberculosis is very important to understand as it shares similar clinical, radiological and hematologocal findings with other infectious and non-infectitious conditions . It has become a major health hazard because of its association with immunocompromised states like HIV, Diabetes mellitus and chronic renal and liver diseases. Diagnosis is delayed in paediatric musculoskeletal tuberculosis because of lack of awareness of disease , non-specific clinical and laboratory findings. TB culture is considered as the gold standard in diagnosing tuberculosis and also, detecting drug sensitivity. Because of its potential for multi-drug resistance, there is a dilemma regarding drug of choice and duration of treatment. Surgery is reserved for obtaining samples to establish diagnosis, debridement and sequestrectomy in recalcitrant infections and correction of deformities to restore joint function. This review article briefs about classical clinical presentation, atypical and multifocal musculoskeletal tuberculosis, radiological and laboratory investigations and management of paediatric musculoskeletal tuberculosis.
Musculoskeletal tuberculosis should be kept as a differential diagnosis when managing a case of musculoskeletal infection in children because of its non- specific presentation. Imaging such as MRI and advanced microbiological analysis aids in arriving correct diagnosis. Multidrug chemotherapy is mainstay of treatment. Radical curettage and, antituberculous chemotherapy followed by a period of immobilisation and rehabilitation will give excellent results
Keywords: Paediatric musculoskeletal tuberculosis, multifocal tuberculosis, Tubercular osteomyelitis

References

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How to Cite this Article: Nemuri S, Agashe M | Musculoskeletal Tuberculosis in Children | International Journal of Paediatric Orthopaedics | September-December 2023; 9(3): 28-34.| https://doi.org/10.13107/ijpo.2023.v09.i03.160

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Musculoskeletal Tuberculosis in Children

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Musculoskeletal Tuberculosis in Children

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Musculoskeletal Tuberculosis in Children

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