Clinical Results After Arthroscopic Treatment for Septic Arthritis of the Elbow Joint

2014 ◽  
Vol 30 (6) ◽  
pp. 673-678 ◽  
Author(s):  
Jun-Gyu Moon ◽  
Sandeep Bilaris ◽  
Wong-Kyo Jeong ◽  
Jung-Hoon Kim
Keyword(s):  
Septic Arthritis ◽  
Elbow Joint ◽  
Clinical Results ◽  
Arthroscopic Treatment

scholarly journals Aspiration or arthrotomy for paediatric septic arthritis of the shoulder and elbow: a systematic review

2021 ◽  
Vol 6 (8) ◽  
pp. 651-657
Author(s):  
Anne J. Spaans ◽  
C.M. (Lilian) Donders ◽  
J.H.J.M. (Gert) Bessems ◽  
Christiaan J.A. van Bergen
Keyword(s):  
Systematic Review ◽  
Septic Arthritis ◽  
Upper Extremity ◽  
Elbow Joint ◽  
Clinical Results ◽  
Scientific Quality ◽  
Knowing That ◽  
Additional Procedure ◽  
Effective Drainage ◽  
Drainage Technique

Upper extremity arthritis in children can be treated with joint aspiration, arthroscopy or arthrotomy, followed by antibiotics. The literature seems inconclusive with respect to the optimal drainage technique. Therefore, the objective of this systematic review was to identify the most effective drainage technique for septic arthritis of the upper extremity in children. Two independent investigators systematically searched the electronic MEDLINE, EMBASE and Cochrane databases for original articles that reported outcomes of aspiration, arthroscopy or arthrotomy for septic arthritis of the paediatric shoulder or elbow. Outcome parameters were clinical improvement, need for repetitive surgery or drainage, and complications. Out of 2428 articles, seven studies with a total of 171 patients treated by aspiration or arthrotomy were included in the systematic review. Five studies reported on shoulder septic arthritis, one study on elbow septic arthritis, and one study on both joints. All studies were retrospective, except for one randomized prospective study. No difference was found between type of treatment and radiological or clinical outcomes. Aspiration of the shoulder or elbow joint required an additional procedure in 44% of patients, while arthrotomy required 12% additional procedures. Conclusion: Both aspiration and arthrotomy can achieve good clinical results in children with septic arthritis of the shoulder or elbow joint. However, the scientific quality of the included studies is low. It seems that the first procedure can be aspiration and washout and start of intravenous antibiotics, knowing that aspiration may have a higher risk of additional drainage procedures. Cite this article: EFORT Open Rev 2021;6:651-657. DOI: 10.1302/2058-5241.6.200122

scholarly journals Arthroscopic treatment of septic arthritis in adults

2018 ◽  
Vol 6 (12_suppl5) ◽  
pp. 2325967118S0017
Author(s):  
Gonzalo J. Magi ◽  
Juan Pablo Carucci ◽  
Sebastián Bergués
Keyword(s):  
Septic Arthritis ◽  
Recurrence Rate ◽  
Clinical Results ◽  
Needle Aspiration ◽  
Arthroscopic Treatment ◽  
Harris Hip Score ◽  
Average Score ◽  
Functional Impairments ◽  
Modified Harris Hip Score

Introduction: Septic arthritis of the hip (SAH) is a serious condition. Prompt diagnosis and management are essential to avoid functional impairments and life-threatening complications.The many treatments advocated to date include repeated non-operative needle aspiration, open surgical synovectomy, and arthroscopic management by joint lavage with or without synovec-tomy. The indications of arthroscopic treatment in septic arthritis of native joints remain ill-defined. Objective: Describe clinical results, complicactions and recurrence rate of arthroscopic treatment of SAH. Methods: We included all adult patients treated with arthroscopy for SAH between March 2010 and March 2017. Patients with less than a year of follow up and previous surgery on the hip were excluded. We performed arthroscopic debridement and lavage of the joint according to Byrd´s technique followed by antiobiotic treatment. We registered modified Harris hip score (MHHS), Hip outcome score activity of daily living (EHOSDL), patients satisfaction, recurrence rate and complications. Results: Four patients were included, two women and two men. Average follow up was 2 years (range 1-3 years). Staphylococcus aureus was isolated in 3 cases and Staphylococcus epidermidis in the remaining. MMHS improved from preoperative average score of 48 to postoperative average of 90. Average EHOSDL improvement was 40% (from 35% preoperative to 75% postoperative). All patients had excellent results. All patients were satisfied with the treatment. We had no recurrence or complications. Conclusion: Arthroscopic treatment of SAH in adults allowed us to obtain very good clinical results with no complications or recurrences with a minimum 1 year follow up.

scholarly journals Arthroscopic treatment of septic arthritis of the knee in children

2015 ◽  
Vol 101 (8) ◽  
pp. S333-S336 ◽  
Author(s):  
C. Agout ◽  
W. Lakhal ◽  
J. Fournier ◽  
C. de Bodman ◽  
C. Bonnard
Keyword(s):  
Septic Arthritis ◽  
Arthroscopic Treatment

Arthroscopic Treatment of Septic Arthritis of the Hip in a Child: A Case Report

Hip & Pelvis ◽  
2013 ◽  
Vol 25 (2) ◽  
pp. 145
Author(s):  
Young-Bong Ko ◽  
Hyoung-Seok Jung ◽  
Ji-Hoon Baek ◽  
Han-Jun Lee ◽  
Yong-Chan Ha
Keyword(s):  
Case Report ◽  
Septic Arthritis ◽  
Arthroscopic Treatment

scholarly journals Arthroscopic treatment of Mycobacterium massiliense septic arthritis outbreak after intra-articular injection

Medicine ◽  
2021 ◽  
Vol 100 (5) ◽  
pp. e23839
Author(s):  
Byung Ill Lee ◽  
Byung-Woong Jang ◽  
Hyung Suk Choi ◽  
Jeong Seok Lee ◽  
Yong Beom Kim
Keyword(s):  
Septic Arthritis ◽  
Arthroscopic Treatment ◽  
Mycobacterium Massiliense

Open Compared with Arthroscopic Treatment of Acute Septic Arthritis of the Native Knee

2017 ◽  
Vol 99 (6) ◽  
pp. 499-505 ◽  
Author(s):  
Brenton P. Johns ◽  
Mark R. Loewenthal ◽  
David C. Dewar
Keyword(s):  
Septic Arthritis ◽  
Arthroscopic Treatment

scholarly journals Arthroscopic treatment of internal snapping hip

2018 ◽  
Vol 6 (12_suppl5) ◽  
pp. 2325967118S0017
Author(s):  
Gonzalo J. Magi ◽  
Juan Pablo Carucci ◽  
Sebastián Bergués
Keyword(s):  
Recurrence Rate ◽  
Clinical Results ◽  
Arthroscopic Treatment ◽  
Harris Hip Score ◽  
Iliopsoas Muscle ◽  
Average Score ◽  
Iliopsoas Tendon ◽  
Snapping Hip ◽  
Endoscopic Release

Introduction: Internal snapping hip syndrome (ISHS) is caused by the iliopsoas tendon snapping over either the iliopectineal ridge or the anterior femoral head. Excellent results are achieved only with activity modification, rest, and stretching the iliopsoas muscle. The literature favors iliopsoas tendon release if conservative therapy fails. There is little evidence about the gold standard of this condition. Objective: Describe clinical results, complicactions and recurrence rate of arthroscopic treatment of ISHS. Methods: We included all patients who failed conservative treatment and were treated with arthroscopy for ISHS between March 2012 and March 2018. Patients with less than 2 years of follow up and previous surgery on the hip were excluded. We performed Ilizariturri´s technique with a transcapsular endoscopic release in central compartment. We registered modified Harris hip score (MHHS), Hip outcome score activity of daily living (EHOSDL), patients satisfaction, recurrence rate and complications. Results: Eight patients were included. Average follow up was 36 months (range 24-60 months). MMHS improved from preoperative average score of 70 (range 62-72) to postoperative average of 93 (range 92 to 96). Average EHOSDL improvement was 30% (from 55% preoperative to 85% postoperative). All patients had excellent results. Average patient satisfaction was 8 (range 7-9). We had no recurrence or complications. Conclusion: Arthroscopic treatment of ISHS allowed us to obtain very good clinical results with no complications or recurrences with a minimum 2 years follow up.

Sign in / Sign up

Export Citation Format

Share Document