Author:
He Yanwei,Liu Juncai,Wang Zhi,Zhou Peng,Deng Xiangtian,Yang Li,Chen Zan,Li Zhong
Abstract
Abstract
Background
Due to atypical clinical symptoms, it is difficult to diagnose joint tuberculosis infection, which often results in misdiagnosis and missed diagnosis. It is easy to cause joint disability. And there are few reports of using arthroscopy to diagnose and treat shoulder tuberculosis. This case series aims to introduce the clinical outcomes of arthroscopic treatment of shoulder tuberculosis.
Methods
Twenty-nine patients with shoulder tuberculosis from September 2013 to February 2019 were included (10 males, 19 females; age range from 22 to 69; the average age is 37.6 years). All patients underwent arthroscopic lesion debridement, with preoperative and postoperative regular use of isoniazid, rifampicin, pyrazinamide, and streptomycin quadruple anti-tuberculosis drugs. The erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) were recorded before and at the last follow-up. The shoulder function was evaluated according to the visual analogue scoring method (visual analogue scale, VAS) pain score and Constant score.
Results
Twenty-nine patients were followed up from 12 months to 2 years, and the average follow-up time was 15.7 months. The pathological diagnosis of all patients after surgery was shoulder tuberculosis. No serious complications were found at the last follow-up, and the incision healed well. VAS pain score, Constant score, ESR, and CRP at the last follow-up were significantly improved compared with those before treatment (P < 0.05).
Conclusion
On the basis of the standard use of anti-tuberculosis drugs before and after surgery, shoulder arthroscopy is used to treat early and mid-term shoulder tuberculosis, which can be diagnosed by direct observation under the arthroscope and postoperative pathological examination. It has the advantages of thorough lesion removal, minimal invasiveness, rapid recovery, and reliable clinical effect.
Funder
Cooperation program between Sichuan university and Luzhou municipal people’s government
Publisher
Springer Science and Business Media LLC
Subject
Orthopedics and Sports Medicine,Surgery
Reference26 articles.
1. Rando M, De Matteis G, Gessi M, et al. Tuberculous arthritis of the ankle. Eur J Case Rep Intern Med. 2018;5(6):000870.
2. World Health Organization. Global tuberculosis report 2018. Geneva: World Health Organization; WHO/CDS/TB/2018.20. Available at: https://www.who.int/tb/publications/global_report/en/. Accessed October 2, 2018.
3. Chen ST, Zhao LP, Dong WJ, et al. The clinical features and bacteriological characterizations of bone and joint tuberculosis in China. Sci Rep. 2015;5:11084.
4. Agathangelidis F, Boutsiadis A, Fouka E, et al. Concomitant acromioclavicular and miliary tuberculosis. BMJ Case Rep. 2013;2013:bcr2013010026.
5. Davies PD. The world-wide increase in tuberculosis: how demographic changes, HIV infection and increasing numbers in poverty are increasing tuberculosis. Ann Med. 2003;35(4):235–43.
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