Caries of Elbow: An Infrequent Location with Diagnostic Quandary: A Case Report

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Tarun Kumar
Lucky Verma
Bhanu Awasthi
Jasbir Singh
Sajid Khan


Tuberculous disease of elbow is a very rare entity and constitutes approximately 2-5% of all cases of skeletal tuberculosis and accounts for 10% of all extra-pulmonary tuberculosis. The disease starts from lower end humerus, olecrenon region or from upper end of radius. We report a case of extra pulmonary Tuberculosis involving left elbow joint. Early diagnosis and intervention is very necessary to prevent serious joint and bone destruction. Although biopsy is required to make definitive diagnosis, it is imperative that Orthopedician understand the typical clinical presentation and radiological imaging. Reviews of literature with emphasis on clinical manifestations, laboratory findings and imaging features are studied.

Tuberculosis, CBNAAT, adenosine deaminase, MRI, AFB

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How to Cite
Kumar, T., Verma, L., Awasthi, B., Singh, J., & Khan, S. (2020). Caries of Elbow: An Infrequent Location with Diagnostic Quandary: A Case Report. Asian Journal of Orthopaedic Research, 3(4), 13-18. Retrieved from
Case Report


Rahman MS, Brar R, Konchwalla A, Sala MJ. Pain in the elbow: A rare presentation of skeletal tuberculosis. J Shoulder Elbow Surg. 2008;17(1):e19–e21.

Akqun U, Erol B, Cimsit C, Karahan M. Tuberculosis of the knee joint: A case report. Acta Orthop Traumatol Turc. 2008; 42:214–218.

Domingo A, Nomdedeu M, Tomas X, Garcia S. Elbow tuberculosis: An unusual location and diagnostic problem. Arch Orthop Trauma Surg. 2005;125:56–58.

Chen WS, Wang CJ, Eng HL. Tuberculous arthritis of the elbow. Int Orthop. 1997;21: 367–370.

Erden H, Baylan O, Simsek I, Dinc A, Pay S, Kocaoglu M. Delayed diagnosis of tuberculous arthritis. Jpn J Infect Dis. 2005;58:373–375.

Giehl JP, Kluba T, Lebherz C. The course of inflammatory mediators after elective orthopedic interventions. Z Orthop Ihre Grenzgeb. 2000;138:181–184.

Chang DJ, Yoon DM, Kang YS, Yoon KB. Chronic back pain proven to be spinal tuberculosis. Korean J Pain. 2008;21:74–79.

Hunfeld KP, Rittmeister M, Wichelhaus TA, Brade V, Enzensberger R. Two cases of chronic arthritis of the forearm due to Mycobacterium tuberculosis. Eur J Clin Microbiol Infect Dis. 1998;17:344–348.

Larsson S, Thelander U, Friberg S. C-reactive protein (CRP) levels after elective orthopaedic surgery. Clin Orthop Relat Res. 1992;275:237–242.

Mohana-Borges AV, Chung CB, Resnick D. Monoarticular arthritis. Radiol Clin North Am. 2004;42:135–149.

Asaka T, Takizawa Y, Kariya T, Nitta E, Yasuda T, Fujita M, et al. Tuberculous Tenosynovitis in the Elbow Joint. Intern Med. 1996;35:162–165.

Scott DL, Steer S. The course of established rheumatoid arthritis. Best Pract Res Clin Rheumatol. 2007;21:943–967.

Mathews CJ, Coakley G. Septic arthritis: Current diagnostic and therapeutic algorithm. Curr Opin Rheumatol. 2008;20: 457–462.