Shoulder tuberculous arthropathy
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Tuberculosis of the shoulder joint is the uncommon extra-pulmonary manifestation of the mycobacterium tuberculosis involving the humeral head, glenoid or both.
Epidemiology
Tuberculosis of the shoulder joint is uncommon skeletal manifestation with an incidence of 0.9-1.7% 1 . There is male predominance with common involvement of the left shoulder joint, unlike the pulmonary apical lesion which is common on the right side 1.
TypeTypes
Caries variants depend on the presentation tuberculosis of shoulder joint 2
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Typetype I:'Caries'caries sicca'- classic dry formPatient presents: patients present with marked wasting of the shoulder and painful restriction of all movements. -
Typetype II:'Caries'caries exudata'- florid typePatient presents: patients present with swelling of the joint, cold abscess and a sinus tract. -
Typetype III:'Caries'caries mobile'Patient
-<p><strong>Tuberculosis of the shoulder joint</strong> is the uncommon<a href="/articles/extrapulmonary-tuberculosis-1"> extra-pulmonary </a>manifestation of the <a href="/articles/mycobacterium-tuberculosis">mycobacterium tuberculosis</a> involving the humeral head, glenoid or both.</p><h5>Epidemiology</h5><p>Tuberculosis of the shoulder joint is uncommon skeletal manifestation with an incidence of 0.9-1.7% <sup>1</sup> . There is male predominance with common involvement of the left shoulder joint, unlike the pulmonary apical lesion which is common on the right side <sup>1</sup>.</p><h5>Type</h5><p>Caries variants depend on the presentation tuberculosis of shoulder joint <sup>2</sup></p><p><strong>Type I: 'Caries sicca'- classic dry form</strong></p><p>Patient presents with marked wasting of the shoulder and painful restriction of all movements.<br><br><strong>Type II: 'Caries exudata'- florid type</strong></p><p>Patient presents with swelling of the joint, cold abscess and a sinus tract.<br><br><strong>Type III: 'Caries mobile'</strong></p><p>Patient present with characteristic restriction of active movements of the shoulder but passive movements of varying degrees are present.</p>- +<p><strong>Tuberculosis of the shoulder joint</strong> is the uncommon<a href="/articles/extrapulmonary-tuberculosis-1"> extra-pulmonary </a>manifestation of the <a href="/articles/mycobacterium-tuberculosis">mycobacterium tuberculosis</a> involving the humeral head, glenoid or both.</p><h5>Epidemiology</h5><p>Tuberculosis of the shoulder joint is uncommon skeletal manifestation with an incidence of 0.9-1.7% <sup>1</sup> . There is male predominance with common involvement of the left shoulder joint, unlike the pulmonary apical lesion which is common on the right side <sup>1</sup>.</p><h5>Types</h5><p>Caries variants depend on the presentation tuberculosis of shoulder joint <sup>2</sup></p><ul>
- +<li>
- +<strong>type I</strong>: <strong>'caries sicca'</strong>- classic dry form: patients present with marked wasting of the shoulder and painful restriction of all movements.</li>
- +<li>
- +<strong>type II</strong>: <strong>'caries exudata'</strong>- florid type: patients present with swelling of the joint, cold abscess and a sinus tract.</li>
- +<li>
- +<strong>type III</strong>: <strong>'caries mobile' </strong>: patients present with characteristic restriction of active movements of the shoulder but passive movements of varying degrees are present.</li>
- +</ul>
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