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Volume 41, Number 3, June 2008

Tuberculosis of the shoulder joint with impingement syndrome as initial presentation

Chethan Nagaraj, Saurabh Singh, Baldeep Singh, Vivek Trikha, Shishir Rastogi
Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India

Received: June 27, 2007    Revised: September 4, 2007    Accepted: January 25, 2008   


Corresponding author:

Dr. Vivek Trikha, L-381, Sarita Vihar, New Delhi 110 076, India. E-mail: Dr. Vivek Trikha This e-mail address is being protected from spam bots, you need JavaScript enabled to view it




Tuberculosis of the shoulder can be difficult to diagnose in the early stages. If not diagnosed early, bony tuberculosis may reduce quality of life. Therefore, tuberculosis should be suspected in cases of long-standing pain in the shoulder. It is necessary to keep tuberculosis in the differential diagnosis of impingement syndrome of the shoulder. We report a young patient presenting with features suggestive of impingement syndrome. After failure to improve with adequate therapy, the patient was further investigated and diagnosed as having early tuberculosis of the shoulder joint. The patient had good clinical recovery with conservative management. The importance of considering early tuberculosis as a differential diagnosis in impingement syndrome is highlighted.


Key words:

Diagnosis, differential; Range of motion, articular; Shoulder impingement syndrome; Shoulder joint; Tuberculosis, osteoarticular


J Microbiol Immunol Infect. 2008;41:275-278.