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[Shoulder girdle and shoulder joint tuberculosis].

R Richter, H Hahn, W Nübling

    Zeitschrift Fur Rheumatologie
    |March 1, 1985
    PubMed
    Summary
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    Combined tuberculostatic and surgical therapy effectively treated shoulder girdle tuberculosis. Most patients resumed work, demonstrating successful functional recovery and improved quality of life post-treatment.

    Area of Science:

    • Orthopedics
    • Infectious Diseases
    • Rheumatology

    Background:

    • Tuberculous omarthritis and specific shoulder girdle disorders present diagnostic and therapeutic challenges.
    • Delayed diagnosis is common, with an average of 1.4 years from symptom onset to diagnosis.
    • Many patients have a history of tuberculosis or concurrent infections.

    Purpose of the Study:

    • To evaluate the efficacy of combined tuberculostatic and surgical therapy for tuberculous shoulder girdle disorders.
    • To assess patient outcomes, including functional recovery and return to work.

    Main Methods:

    • Retrospective analysis of 61 patients treated between 1955 and 1980.
    • Treatment involved combined tuberculostatic medication and surgical interventions (arthrodesis or focus clearance).

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  • Follow-up included clinical examination and assessment of return to work.

    • Main Results:

    • Arthrodesis was performed in 46% of shoulder joint cases; focus clearance in the remainder.
    • Complications, including reactivations and implant issues, were managed successfully with secondary operations.
    • 80% of followed-up patients returned to their previous occupation within 12 months post-treatment.

    Conclusions:

    • Combined tuberculostatic and surgical treatment offers a viable therapeutic strategy for tuberculous shoulder girdle disorders.
    • The treatment approach leads to significant functional recovery and facilitates return to work.
    • Early diagnosis and comprehensive management are crucial for optimal patient outcomes.