title: Isolated tubercular osteomyelitis of acromion: A case report and review of literature.
abstract: Tuberculosis is an infectious disease of public health interest, infecting one-third of the world population. Up to 3% of all Tubercular cases have musculoskeletal involvement with less than 1% involving the scapular. To the best of our knowledge, we present the third case of acromion involvement in reported literature. An adolescent female with complains of shoulder pain with no restriction of movements, no local symptoms, no fever, no history of tuberculosis was being treated on analgesics for three months at a primary health centre. With a provisional diagnosis of Chondroblastoma, surgical exploration was done, but pus was drained. It was realized in retrospect that tuberculosis needs to be considered as a differential diagnosis for any undefined bony pain, however uncommon the site of involvement may be, especially in Indian subcontinent.
authors.affiliation: Maulana Azad Medical College, BSZ Marg, New Delhi, India.
authors.forename: Abhishek Kumar
authors.initials: AK
authors.lastname: Sambharia
authors.affiliation: Robert Jones and Agnes Hunt Hospital, Oswestry SY10 7AG, UK.
authors.forename: Anshul
authors.initials: A
authors.lastname: Goel
authors.affiliation: Maulana Azad Medical College, BSZ Marg, New Delhi, India.
authors.forename: Yugal
authors.initials: Y
authors.lastname: Karkhur
authors.affiliation: Maulana Azad Medical College, BSZ Marg, New Delhi, India.
authors.forename: Anurag
authors.initials: A
authors.lastname: Tiwari
authors.affiliation: Maulana Azad Medical College, BSZ Marg, New Delhi, India.
authors.forename: Sneha
authors.initials: S
authors.lastname: Sharma
authors.affiliation: Maulana Azad Medical College, BSZ Marg, New Delhi, India.
authors.forename: Ankit
authors.initials: A
authors.lastname: Kataria
keywords: Antitubercular therapy; Infection; Mycobacterium tuberculosis; Osteomyelitis; Scapular tuberculosis; Shoulder pain; Skeletal tuberculosis