TUBERCULOSIS OFINTRAMUSCULAR HEMATOMA POST ACL RECONSTRUCTION: A CASE REPORT

Introduction: Tuberculosis (TB) is considered well-eradicated in many developed countries however, in Saudi Arabia, it is still regarded as uncontrolled. Many organs can be affected by TB, the most common being the lungs. Presentation Of the Case: a 34-year-old male patient presented 8 months post Anterior Cruciate Ligament (ACL) reconstruction complaining of a 2 cm swelling in the left lateral aspect of the left knee along with a decrease in range after an aggressive physiotherapy session. reddish, warmth, and pain, with a limited range of movement and then diagnosed with tuberculosis of the knee, histopathologically confirmed following surgical debridement Furthermore, the patients underwent the administration of an anti-tuberculous drug regimen. Discussion: This case is unique due to the unspecific clinical manifestations of the disease, which contributed to delayed diagnosis. Aggressive physiotherapy led to endobutten flipping resulting in hematoma development infected with M. Tuberculosis. Conclusion: Extraarticular Knee Hematoma infected with M. tuberculosis is a rare disease often misdiagnosed. Clinical manifestations need a further surgical approach followed by a histopathology examination to diagnose the level of injury. Good physiotherapy instructions with proper technique post-ACL repair are crucial steps to prevent complications, especially post-ACL reconstruction.