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ORIGINAL ARTICLE
Year : 2003  |  Volume : 37  |  Issue : 2  |  Page : 7

Tuberculosis of shoulder joint


Department of Orthopedics, Smt.NHL Municipal Medical College and K.M.School of Post Graduate Medicine and Research, Ahmedbad, India

Correspondence Address:
P R Patel
C-1, Parshwanath Habitat, Patel Society, Gulbai Tekra, Ahmedabad-380006
India
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Source of Support: None, Conflict of Interest: None


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Tuberculosis of the shoulder joint is uncommon. Approximately only 0.9 to 1.7% of tubercular lesions of the skeletal variety occur in the shoulder joint. Twelve cases of tuberculosis of shoulder were seen in last ten years. The mean complaints were long duration of pain, stiffness of varying degree, and wasting of shoulder muscles in all. Cold abscess and sinus formation were present in one case each. We have observed three types of affection: Type I, the Caries sicca the atrophic form, Type II the Caries exudata with swelling and cold abscess formation and Type III the Caries mobile with good range of passive movements. Nearly half the cases were initially misdiagnosed as having a frozen shoulder. All cases received 3 or 4 anti- tubercular drugs. No plaster spica or splints were used. Gentle pendulum and circular movements were employed from the beginning. One case needed arthrodesis, others were managed conservatively. Three patients regained full movements, others healed with limitation of movements. Overall the results were satisfactory.


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