Sambharia Abhishek Kumar, Goel Anshul, Karkhur Yugal, Tiwari Anurag, Sharma Sneha, Kataria Ankit
Maulana Azad Medical College, BSZ Marg, New Delhi, India.
Robert Jones and Agnes Hunt Hospital, Oswestry SY10 7AG, UK.
J Clin Orthop Trauma. 2016 Oct-Dec;7(Suppl 1):55-57. doi: 10.1016/j.jcot.2016.08.009. Epub 2016 Aug 31.
Tuberculosis is an infectious disease of public health interest, infecting one-third of the world population. Up to 3% of all Tubercular cases have musculoskeletal involvement with less than 1% involving the scapular. To the best of our knowledge, we present the third case of acromion involvement in reported literature. An adolescent female with complains of shoulder pain with no restriction of movements, no local symptoms, no fever, no history of tuberculosis was being treated on analgesics for three months at a primary health centre. With a provisional diagnosis of Chondroblastoma, surgical exploration was done, but pus was drained. It was realized in retrospect that tuberculosis needs to be considered as a differential diagnosis for any undefined bony pain, however uncommon the site of involvement may be, especially in Indian subcontinent.
结核病是一种关乎公众健康的传染病，全球三分之一的人口受其感染。所有结核病病例中，高达3%会累及肌肉骨骼系统，累及肩胛骨的不到1%。据我们所知，本文报告了文献中第三例累及肩峰的病例。一名青春期女性主诉肩部疼痛，活动不受限，无局部症状，无发热，无结核病史，在一家初级保健中心接受了三个月的止痛治疗。初步诊断为软骨母细胞瘤，进行了手术探查，但引流出了脓液。事后认识到，对于任何不明原因的骨痛，无论受累部位多么罕见，尤其是在印度次大陆，都需要将结核病视为鉴别诊断之一。
