Caries sicca: tuberculosis of glenohumeral joint
Keywords:Caries Sicca, Tuberculosis shoulder joint, Musculoskeletal Tuberculosis
Tuberculosis is quite common in India. Shoulder tuberculosis although rare among the skeletal tuberculosis needs to be kept in mind for diagnosis and proper treatment of cases of Carries Sicca. Twenty year old female presented with non traumatic pain in right shoulder with severe restriction of shoulder Range of Movements (ROM), not responding to treatment. On detailed examination turned out to be a case of Caries Sicca. Thorough debridement along with sufficient immobilization and Anti Tubercular Treatment (ATT) gives excellent results. High suspicion is needed to diagnose the cases of Carries Sicca. Early diagnosis and proper treatment gives wonderful results. Only ATT with or without immobilization and debridement are sufficient enough in majority of cases.
Chadha VK. Tuberculosis epidemiology in India: a review. Int J Tuberc Lung Dis. 2005;9(10):1072-82.
Sharma PK, Madegowda A, Mittal R. Tuberculosis of Patella: non specific presentation, treated conservatively. Int J Health Allied Sci. 2017;6(3):194-6.
Patel PR, Patel DA, Thakker T, Shah K, Shah VB. Tuberculosis of shoulder joint. Indian J Orthop. 2003;37(2):7.
Richter R, Hahn H, Nubling W, Kohler G. Shoulder girdle and shoulder joint tuberculosis. Z Rhematol. 1985;44:87-92.
Darraj M. Delayed presentation of shoulder tuberculosis: a case report. Case Rep Infect Dis. 2018;Article ID 8591075:1-4.
Birole U, Ranade A, Mone M. A Case Report of an Unusual Case of Tuberculous Osteomyelitis Causing Spontaneous Pathological Fracture of Humerus in a Middle Aged Female. J Orthop Case Rep. 2017;7(1):41-5.
Vijay V, Vaishya R. Tuberculosis of the shoulder: ‘Caries sicca’. Indian J Med Res. 2017;146(6):796-7.