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Tuberculosis of the sternoclavicular joint
Anuj Jain1, Nitesh Jajodia, Aditya Aggarwal
1University College of Medical Sciences and associated Guru Teg Bahadur Hospital, Delhi, India.
Journal of Orthopaedic Surgery (Hong Kong)
|December 31, 2015
Summary
Diagnosing sternoclavicular joint tuberculosis requires high clinical suspicion. Early diagnosis and treatment with antituberculous therapy (ATT) lead to symptom resolution in most cases.
Area of Science:
- Orthopedics
- Infectious Diseases
- Radiology
Background:
- Tuberculosis (TB) can affect various musculoskeletal sites, including the sternoclavicular joint.
- Sternoclavicular joint tuberculosis is rare and can present with non-specific symptoms, delaying diagnosis.
Purpose of the Study:
- To review the diagnosis and treatment of sternoclavicular joint tuberculosis in a cohort of 13 patients.
- To highlight key diagnostic features and treatment outcomes.
Main Methods:
- Retrospective review of 13 patients diagnosed with sternoclavicular joint tuberculosis.
- Analysis of clinical presentation, diagnostic methods (histopathology, PCR, culture), and treatment response.
Main Results:
- Common symptoms included pain, tenderness, discharging sinus, or cold abscess.
- Diagnosis was confirmed via histopathology, PCR, or culture; 2 patients diagnosed clinically.
- 11 patients responded well to antituberculous therapy (ATT); 2 non-responders received immunomodulation therapy.
Conclusions:
- High clinical suspicion is crucial for diagnosing sternoclavicular joint tuberculosis.
- A combination of histopathology, microbiological tests, and PCR aids in diagnosis.
- Prompt ATT is effective; further investigation and adjunctive therapy may be needed for non-responders.
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