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
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.
Diagnosis, differential; Range of motion, articular; Shoulder impingement syndrome; Shoulder joint; Tuberculosis, osteoarticular
J Microbiol Immunol Infect. 2008;41:275-278.