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Caries sicca

Case contributed by Subash Thapa
Diagnosis almost certain

Presentation

History of pulmonary tuberculosis. Patient has limited range of movement and pain (left shoulder joint)

Patient Data

Age: 40 years
Gender: Male
x-ray

There is symmetrical obliteration of the left shoulder joint space with complete destruction of the humeral head. There is involvement of the left humerus and the adjacent glenoid.

Case Discussion

Depending on the presentation, shoulder joint tuberculous arthropathy are of three types:

  • type I: caries sicca

  • type II: caries exudata

  • type III: caries mobile

Caries sicca is the classic dry form of tuberculosis of shoulder where the patient present with marked wasting of the shoulder and painful restriction of all movements. There is no pus formation or joint ankylosis as in our case.

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