Shoulder tuberculous arthropathy

Last revised by Tim Luijkx ◈ on 7 Mar 2018

Citation, DOI, disclosures and article data

Citation:

Thapa S, Luijkx T, Knipe H, et al. Shoulder tuberculous arthropathy. Reference article, Radiopaedia.org (Accessed on 27 Sep 2023) https://doi.org/10.53347/rID-48009

DOI:

https://doi.org/10.53347/rID-48009

Permalink:

https://radiopaedia.org/articles/48009

rID:

48009

Article created:

13 Sep 2016, Subash Thapa

Disclosures:

At the time the article was created Subash Thapa had no recorded disclosures.

View Subash Thapa's current disclosures

Last revised:

7 Mar 2018, Tim Luijkx ◈

Disclosures:

At the time the article was last revised Tim Luijkx had no recorded disclosures.

View Tim Luijkx's current disclosures

Revisions:

9 times, by 6 contributors - see full revision history and disclosures

Systems:

Musculoskeletal

Tags:

refs, cases

Synonyms:

Caries sicca
Caries exudata
Caries mobile
Shoulder tubercular arthropathy: caries variants

Shoulder tuberculous arthropathy is an uncommon extrapulmonary manifestation of tuberculosis involving the humeral head and/or the glenoid.

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 more common on the right side ¹.

Clinical presentation

Caries variants depend on the presentation tuberculosis of shoulder joint ²:

type I: caries sicca
- classic dry form
- patients present with marked wasting of the shoulder and painful restriction of all movement
type II: caries exudata
- florid type
- patients present with swelling of the joint, cold abscess and a sinus tract
type III: caries mobile
- patients present with characteristic restriction of active movements of the shoulder but passive movements of varying degrees are present