Kulkarni Shrihari L, Mannual Sunil, Patil Naveenkumar, Daragad Manjunath, Nuhman Mohammed
Department of Orthopaedics, SDM College of Medical Sciences and Hospital, Shri Dharmasthala Manjunatheshwara University, Dharwad, Karnataka, India.
J Orthop Case Rep. 2022 Feb;12(2):81-85. doi: 10.13107/jocr.2022.v12.i02.2676.
Tuberculosis (TB) involving the shoulder joint is rare. Early diagnosis is difficult but essential to prevent severe joint damage. In this report, we present variable presentation and management of TB of shoulder joint in three patients.
This report includes three patients. First patient was a 58-year-old male with severe muscle wasting around the shoulder with restriction of all movements had dry form of TB. Second patient was 55-year-old female with pain and swelling in the shoulder had wet form of TB with submuscular bursitis with rice bodies. A 50-year-old female presented with pain in the right shoulder with restricted active movements only was diagnosed with mobile form of TB was our third patient. Shoulder TB was diagnosed on the basis of histopathological examination in all three patients and was treated with 12 months of anti-tubercular therapy (ATT). All patients had good recovery and were back to their routine activities.
TB of the shoulder has variable presentation; histopathological examination is the gold standard for diagnosis. Early diagnosis and treatment with ATT help in prevention of the severe joint damage.
累及肩关节的结核病（TB）较为罕见。早期诊断困难，但对于预防严重的关节损伤至关重要。在本报告中，我们介绍了三名肩关节结核患者的不同表现及治疗情况。
本报告包括三名患者。第一名患者是一名58岁男性，肩部周围严重肌肉萎缩，所有活动均受限，患干性结核。第二名患者是一名55岁女性，肩部疼痛肿胀，患湿性结核并伴有肌下滑囊炎及米粒体。第三名患者是一名50岁女性，仅表现为右肩部疼痛且主动活动受限，被诊断为活动性结核。所有三名患者均通过组织病理学检查确诊为肩部结核，并接受了12个月的抗结核治疗（ATT）。所有患者恢复良好，已恢复日常活动。
肩部结核有多种表现；组织病理学检查是诊断的金标准。早期诊断并使用ATT治疗有助于预防严重的关节损伤。
