Arthroscopic debridement with continuous irrigation for septic arthritis of the shoulder joint
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Tomoya Matsuhashi & Naoki Suenaga & Naomi Oizumi & Norimasa Iwasaki & Akio Minami
- چاپ و سال / کشور: 2011
Description
Purpose The purpose of this study was to investigate the outcome of arthroscopic debridement with continuous irrigation in patients with septic arthritis of the shoulder joint. Methods Ten patients (four men, six women) with septic arthritis of the shoulder joint were treated with a combination of arthroscopic debridement and continuous irrigation. All patients were followed for a minimum of 4 years. The average age was 61.7 years with a range of 25 to 86. The etiology of infection was determined to be a subacromial injection in six cases, EMG needle puncture in one, hematogenous in two, and unknown in one case. Causative bacteria, follow-up period, recurrence, shoulder pain, University of California, Los Angeles (UCLA) shoulder score, and radiographic findings were evaluated. Result Staphylococcus aureus was cultured in six cases, and Staphylococcus epidermidis, in four cases. The average follow-up period was 103.3 months with a range of 48 to 199. The infection was eradicated completely with a single arthroscopic debridement with continuous irrigation in nine patients. One patient required a second operation. In all patients, severe pain before operation improved. The average UCLA shoulder score increased from 5.7 points prior to the operation to a post-operation score of 26.4 points. In standard radiographic findings, five cases had aggravated osteoarthritis in the affected joint. Conclusion This study shows that arthroscopic debridement with continuous irrigation for septic arthritis of the shoulder joint improves shoulder pain, functional scores, and subjective outcome and prevents recurrence in many cases.
Eur Orthop Traumatol DOI 10.1007/s12570-011-0062-x Received: 8 December 2010 / Accepted: 8 May 2011
