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Tuberculous bicipitoradial bursitis: a case report.

Jun Nishida1, Katsuro Furumachi, Shigeru Ehara

  • 1Department of Orthopaedic Surgery, School of Medicine, Iwate Medical University, Morioka, Japan. jnishida@f2.dion.ne.jp

Skeletal Radiology
|October 6, 2006
PubMed
Summary

Tuberculosis can cause elbow joint lesions. This case report details a rare instance of tuberculous bicipitoradial bursitis presenting as a soft tissue mass, highlighting its potential as a cause of cystic lesions.

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Area of Science:

  • Orthopedics
  • Infectious Diseases
  • Radiology

Background:

  • A 76-year-old male presented with a soft tissue mass near the left elbow's biceps brachi tendon.
  • The patient had a history of pulmonary tuberculosis since age 30.
  • Initial diagnosis was bicipitoradial bursitis based on clinical presentation and imaging.

Observation:

  • Magnetic resonance (MR) imaging revealed a mass with specific signal intensities on T1- and T2-weighted sequences.
  • Needle biopsy was performed, followed by surgical excision of the mass.
  • Histopathological examination identified an epithelioid cell granuloma with central necrosis.

Findings:

  • The excised mass was confirmed to be tuberculous in origin.
  • This represents the first reported case of tuberculous bicipitoradial bursitis.

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  • The lesion mimicked other soft tissue tumors and bursitis.

    • Implications:

    • Tuberculous bicipitoradial bursitis should be considered in the differential diagnosis of elbow cystic lesions, especially in patients with a history of tuberculosis.
    • This finding expands the known spectrum of musculoskeletal tuberculosis manifestations.
    • Early recognition and appropriate treatment are crucial for managing this rare condition.