Physical therapist management of tuberculous arthritis of the elbow.

Abstract:

BACKGROUND AND PURPOSE:Tuberculous arthritis is not commonly seen by physical therapists in the United States. The purpose of this case report is to describe a case of tuberculous arthritis of the elbow. CASE DESCRIPTION:The patient was a 36-year-old man referred for physical therapy evaluation and intervention for chronic elbow pain. After an evaluation and a trial of physical therapy, the patient was referred back to a primary care provider for additional tests to rule out systemic pathology. An open debridement of synovium and biopsy of the capitellum and radial head was positive for acid-fast bacilli, which was later identified as Mycobacterium tuberculosis. OUTCOMES:The patient was placed on a 4-drug antituberculosis regimen that resolved all patient complaints and restored full elbow function. DISCUSSION:Tuberculous arthritis has characteristic findings during examination and in diagnostic tests. Although tuberculous arthritis is uncommon, it should be considered when patients have chronic or vague musculoskeletal complaints.

journal_name

Phys Ther

journal_title

Physical therapy

authors

Dahl CS

subject

Has Abstract

pub_date

2001-06-01 00:00:00

pages

1253-9

issue

6

eissn

0031-9023

issn

1538-6724

journal_volume

81

pub_type

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