Tuberculosis of Shoulder Joint – A Rare Presentation

Tuberculosis of joint is common but involvement of shoulder joint is rare. We present a case of shoulder tuberculosis of a 43 year old male who presented with pain in left shoulder joint for last 7 months and swelling over the arm from 5 months. Patient had restricted range of movements. X-ray, CT scan showed decreased joint space and multiple lytic areas. MRI showed intra articular and peri articular collection of fluid and gave diagnosis of tuberculosis. Excision Biopsy was done by arthroscopic technique and sent for Histopathological examination and CBNAAT (cartridge based nucleic acid amplification test) which were reported as positive for tuberculosis. Patient was treated with Arthroscopic debridement and Anti tuberculosis therapy for 9 months and has regained good range movements.