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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Swollen knee joint, limited knee movement. MRI report shows joint effusion, presence of lymph nodes, thickening of synovium around right knee joint. Suggestions?

hello my wifes MRI report says " Joint effusion , thickening of the synovium around the right knee joint showing constrast enhancement , presence of lymph nodes may suggest tuberclosis involment o f the right knee joint" The case history is that there is knee swollen for four days and the movement of the knee is limited . there is no trauma injury or ligament tear... kindly suggest the way to relieve her pain and medication ... the answer be fwd to my mail YYYY@YYYY pl...regards Thanks
Fri, 26 Apr 2013
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Orthopaedic Surgeon 's  Response
Hello,
Welcome AT HCM.
I have read details in your question completely.

Your wife has swelling in knee since last few days with problem with movement of knee.The presence of just enlarged lymph node does not guide the diagnosis of TUBERCULOSIS AT Knee.It is also not a common in present era.

I will advice you to have some specific test like RAPID METHOD BACTAC test.

If tuberculosis is suspician then you should have a biopsy of the knee.

This is a method by which a part of the thickened synovium or inner lining is taken & examined under microscope to check the characteristics related with tuberculosis.

If this comes positive then she will get relief from anti tubercular medicines & traction therapy.

Hope this will help you.

Wish you a happy & healthy life.
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