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CASE REPORT
Year : 2016  |  Volume : 15  |  Issue : 3  |  Page : 206-208

Failed radiation synovectomy in diseased knee joint with missed tuberculous synovitis

Ashwani Sood1, Aman Sharma2, Devendra Kumar Chouhan3, Kirti Gupta4, Rahul Parghane1, Jaya Shukla1, Bhagwant Rai Mittal1
1 Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab and Haryana, India
2 Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab and Haryana, India
3 Department of Orthopedics, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab and Haryana, India
4 Department of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab and Haryana, India

Correspondence Address:
Bhagwant Rai Mittal
Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 012, Punjab and Haryana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1450-1147.167606

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The authors in this case report highlight the poor outcome of radiation synovectomy (RSV) for repeated knee joint effusion in a patient with histopathologically proven nonspecific arthritis. There was partial response initially following RSV but later follow-up showed recurrence in joint effusion with limited and painful mobility of the knee joint. Subsequent surgical synovectomy and histopathological examination showed it to be tubercular in origin. Thus in a country endemic for tuberculosis, an alternative infective etiology should also be kept in mind before subjecting the patient to RSV.


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