Analysis of Clinical Misdiagnosis of Tuberculosis of Shoulder Joint
YANG Songyun
LI Gangchi
ZHANG Lei
MO Songquan
ZHU Chaojun
Abstract：Objective To investigate the clinical features and causes of misdiagnosis of tuberculosis of shoulder joint.Methods The clinical data of 4 patients with tuberculosis of shoulder joint misdiagnosed in our hospital from January 2019 to January 2021 were retrospectively analyzed.Results Four patients presented with shoulder pain for 3 months to 1 year,in-cluding 2 in the left shoulder and 2 in the right shoulder.Of them,one patient had a history of tuberculosis and was misdiag-nosed as shoulder arthritis.One patient was misdiagnosed as bursitis of the shoulder joint with bacterial infection,and one pa-tient was misdiagnosed as pigmented villonodular synovitis of the shoulder joint.One patient was misdiagnosed as rotator cuff injury and underwent surgical treatment,but the incision did not heal after surgery.Misdiagnosis lasted from 3 months to 1 year.All the 4 cases underwent arthroscopic lesion cleaning+closed irrigation and drainage,and the postoperative pathologi-cal examination results confirmed tuberculosis of shoulder joint.Four patients were followed up for 12 months with regular use of anti-tuberculosis drugs,and the scores of shoulder joint function evaluation scale were 80-95 points.Conclusion It is dif-ficult to diagnose tuberculosis of shoulder joint,and the rate of misdiagnosis is high.Clinicians should be vigilant,especially for patients with a history of tuberculosis,and pathological examination should be performed early to make a clear diagnosis,so as to reduce misdiagnosis.
Keywords：TuberculosisosteoarticularShoulder jointMisdiagnosisSynovitisPigmented villonodularBacterial infectionsMycobacterium tuberculosisAntitubercular agentsArthroscopy
Publication Date：2023-08-22
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 26-30 )