title: Advanced shoulder joint tuberculosis treated with débridement and closed continuous irrigation and suction: a report of 2 cases.
abstract: Tuberculosis of the shoulder is rare and its diagnosis is likely to be delayed because its symptoms often resemble those of the primary frozen shoulder or rotator cuff syndrome. The standard treatment is principally antituberculous chemotherapy plus débridement, if necessary. In this report, we describe 2 patients with advanced shoulder joint tuberculosis that were treated by débridement and closed continuous irrigation and suction using normal saline followed by early range-of-motion exercise with satisfactory results. We emphasize that surgical débridement and closed continuous irrigation and suction, which is one of the standard treatment methods for severe or chronic musculoskeletal infection, should be considered in treating advanced shoulder joint tuberculosis.
authors.affiliation: Keio University, Shinjuku, Tokyo, Japan.
authors.forename: Kiyohisa
authors.initials: K
authors.lastname: Ogawa
authors.forename: Noriaki
authors.initials: N
authors.lastname: Nakamichi
mesh_terms: D000995:Antitubercular Agents / Q000627:therapeutic use; D003646:Debridement / Q000379:methods*; D004359:Drug Therapy, Combination; D004977:Ethambutol / Q000627:therapeutic use; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D007538:Isoniazid / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D016059:Range of Motion, Articular; D012293:Rifampin / Q000627:therapeutic use; D012785:Shoulder Joint / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery*; D013396:Suction; D007507:Therapeutic Irrigation; D016896:Treatment Outcome; D014394:Tuberculosis, Osteoarticular / Q000382:microbiology / Q000473:pathology* / Q000628:therapy
chemical_list: D000995:Antitubercular Agents; D004977:Ethambutol; D007538:Isoniazid; D012293:Rifampin