Analysis of the early clinical outcomes of arthroscopic debridement in the treatment of shoulder tuberculosis.

摘要: BACKGROUND Due to atypical clinical symptoms, it is difficult diagnose joint tuberculosis infection, which often results in misdiagnosis and missed diagnosis. It easy cause disability. And there are few reports of using arthroscopy treat shoulder tuberculosis. This case series aims introduce the outcomes arthroscopic treatment METHODS Twenty-nine patients with from September 2013 February 2019 were included (10 males, 19 females; age range 22 69; average 37.6 years). All underwent lesion debridement, preoperative postoperative regular use isoniazid, rifampicin, pyrazinamide, streptomycin quadruple anti-tuberculosis drugs. The erythrocyte sedimentation rate (ESR) C-reactive protein (CRP) recorded before at last follow-up. function was evaluated according visual analogue scoring method (visual scale, VAS) pain score Constant score. RESULTS followed up 12 months 2 years, follow-up time 15.7 months. pathological diagnosis all after surgery No serious complications found follow-up, incision healed well. VAS score, ESR, CRP significantly improved compared those (P < 0.05). CONCLUSION On basis standard drugs surgery, used early mid-term tuberculosis, can be diagnosed by direct observation under arthroscope examination. has advantages thorough removal, minimal invasiveness, rapid recovery, reliable effect.