Efficacy analysis of arthroscopic debridement in the treatment of shoulder joint tuberculosis
Li Longjie
Liu Chang
Wang Chunlei
Liu Zhaohui
Chen Si
Zhang Haisen
Lu Jian
Li Haibin
Abstract：Objective To explore the clinical efficacy of arthroscopic debridement in the treatment of shoulder joint tuberculosis.Methods A retrospective analysis was performed on the clinical data of 73 patients with shoulder joint tuberculosis who underwent surgical treatment at Cangzhou Central Hospital,Hebei Province from April 2014 to April 2023.Standard anti-tuberculosis drug therapy was administered before and after surgery.The patients were divided into arthroscopic group(38 cases,treated with shoulder arthroscopy)and open surgery group(35 cases,treated with open debridement)according to the surgical method.Re-examinations were conducted preoperatively,3 months postoperatively,and 2 years postoperatively.Disease stability and recurrence were evaluated by X-ray and magnetic resonance imaging examinations.The improvement of shoulder joint function was assessed using the visual analogue scale(VAS)score,University of California,Los Angeles(UCLA)shoulder score,and Constant-Murley score.C-reactive protein(CRP)and erythrocyte sedimentation rate(ESR)were recorded preoperatively,3 months postoperatively,and 2 years postoperatively to evaluate the inflammatory control.Results All 73 patients completed the follow-up.The early postoperative recurrence rate was 2.6％(1/38)in the arthroscopic group and 5.7％(2/35)in the open surgery group,but no statistically significant difference in recurrence rate was found between the two groups under the sample size of this study(P>0.05).There were no statistically significant differences in VAS scores between the two groups preoperatively,3 months postoperatively,or 2 years postoperatively(all P>0.05).At 3 months postoperatively,the UCLA shoulder score and Constant-Murley score in the arthroscopic group were significantly higher than those in the open surgery group[25(21,26)vs 20(19,23),60(51,69)vs 52(47,58),respectively](both P<0.05).The CRP and ESR levels in both groups at 3 months and 2 years postoperatively were significantly lower than those preoperatively(all P<0.05),but there were no statistically significant differences in CRP and ESR levels between the two groups preoperatively,3 months postoperatively,or 2 years postoperatively(all P>0.05).Conclusion Arthroscopic debridement combined with anti-tuberculosis drug therapy can achieve satisfactory clinical outcomes in the treatment of shoulder joint tuberculosis,especially with certain advantages in short-term postoperative functional rehabilitation,but appropriate indications need to be strictly grasped.
Keywords：Shoulder joint tuberculosisArthroscopyAnti-tuberculosis treatment
Publication Date：2026-02-18
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：6( 219-224 )