Tuberculosis of Shoulder – Joint An Unusual Case Presentation

• Main Author: Rahul Dev
• Format: Article
• Language: English
• Published: JCDR Research and Publications Pvt. Ltd. 2018-07-01
• Series: International Journal of Anatomy Radiology and Surgery
• Subjects: fulminant; glenohumeral joint; skeletal tuberculosis; synovial proliferation
• Online Access: http://www.ijars.net/article_fulltext.asp?issn=0973-709x&year=2018&month=July&volume=7&issue=3&page=RC04-RC06&id=2399

Although skeletal tuberculosis is most common form of extra pulmonary infection, tuberculosis of the shoulder is a rare disorder with male predominance. Tuberculous involvement of glenoid with relative sparing of humerus is further rare presentation. A young man presented to outpatient clinic with long standing history of gradual onset, progressive pain and limited range of active movements involving right shoulder joint. Clinical examination revealed fullness in anterior axilla with palpable axillary lymphadenopathy. The laboratory examination revealed raised ESR and lymphocytosis. MRI findings revealed bony destruction involving glenoid with extensive enhancing synovial proliferation and cold abscess formation in joint, focal involvement of humeral head and axillary lymphadenopathy. The patient was started on antitubercular treatment and responded well till follow-up was done.