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Journal of Bone and Joint Surgery, 1961;43:560-567.
© 1961 by The Journal of Bone and Joint Surgery, Inc

Cystic Tuberculosis of the Proximal Tibial Metaphysis with Associated Involvement of the Epiphysis and Epiphyseal Plate

A Report of Two Cases

John T. Hayes M.D.1

1 Department of Surgery, Section of Orthopaedic Surgery, University of Michigan, Ann Arbor

Two cases of cystic tuberculosis in children with involvement of the proximal tibial metaphysis, epiphyseal plate, and epiphysis are presented.

In each case, curettage of the abscess with removal of sequestra combined with drug therapy and immobilization have led to arrest of the disease.

In each case, the organism showed resistance to streptomycin when first encountered.

Symmetrical growth of the tibia has continued despite known penetration of the epiphyseal plate. The value of surgical extirpation of the osseous lesion combined with drug therapy in these examples of cystic tuberculosis is apparent.


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