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wrist septic arthritis management

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https://www.readbyqxmd.com/read/24307329/antimicrobial-management-of-septic-arthritis-of-the-hand-and-wrist
#1
T J Kowalski, L A Thompson, J D Gundrum
PURPOSE: The optimal antimicrobial treatment for patients with hand or wrist septic arthritis is unknown. We report the treatment outcomes in patients with these infections. METHODS: The medical records of 40 consecutive adult patients with hand or wrist septic arthritis treated at our institution from 2000 to 2008 were retrospectively reviewed. The primary outcome measure was treatment failure (histopathologic or microbiologic evidence of relapsed infection from the same joint or a contiguous anatomic area)...
April 2014: Infection
https://www.readbyqxmd.com/read/23856550/contribution-of-arthroscopy-in-case-of-septic-appearance-arthritis-of-the-wrist-a-nine-cases-series
#2
A Hariri, F Lebailly, A Zemirline, S Hendriks, S Facca, P Liverneaux
Septic arthritis of the wrist is a diagnostic and therapeutic emergency. Synovectomy and lavage by arthrotomy is often followed by stiffness. The purpose of this study was to evaluate the diagnostic and therapeutic contribution of emergency arthroscopic synovectomy with intraarticular lavage. Nine patients were operated on for wrist pathology with septic appearance. All had signs of local inflammation, three showed locoregional inflammation, three were febrile. In one patient several joints were involved. Seven patients presented with inflammatory or degenerative arthritis...
September 2013: Chirurgie de la Main
https://www.readbyqxmd.com/read/21871356/arthroscopic-management-of-septic-arthritis-of-the-wrist
#3
REVIEW
Douglas M Sammer, Alexander Y Shin
Bacterial septic arthritis of the wrist is a joint-threatening emergency that is often treated by open irrigation and debridement (I and D). There is evidence that patients with isolated septic arthritis of the wrist require fewer operations and have a shorter hospital stay when treated arthroscopically. This article describes the surgical technique for arthroscopic I and D of the wrist and discusses the indications and benefits of arthroscopic versus open I and D for septic arthritis of the wrist.
August 2011: Hand Clinics
https://www.readbyqxmd.com/read/21730866/management-of-the-nontraumatic-hot-swollen-joint
#4
COMPARATIVE STUDY
Matthew J Reed, Andrew Carachi
AIM: To audit the management of nontraumatic hot swollen joints presenting to a large UK university teaching hospital and to design a simple emergency department (ED) algorithm to improve patient care based on existing guidelines and our experience. METHODS: Prospective audit. RESULTS: Between 2 February and 8 May 2009, 77 patients were enrolled. Median age was 58 years (range 19-89 years) and 57% were male patients. The most commonly affected joint was the knee (38%), with the knee, wrist, ankle, hip and elbow comprising 87% of affected joints...
April 2012: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://www.readbyqxmd.com/read/21276897/management-of-the-septic-wrist
#5
REVIEW
Michael V Birman, Robert J Strauch
No abstract text is available yet for this article.
February 2011: Journal of Hand Surgery
https://www.readbyqxmd.com/read/20194349/comparison-of-arthroscopic-and-open-treatment-of-septic-arthritis-of-the-wrist-surgical-technique
#6
COMPARATIVE STUDY
Douglas M Sammer, Alexander Y Shin
BACKGROUND: Open irrigation and débridement is the standard of treatment for septic arthritis of the wrist. Although isolated cases of arthroscopic irrigation and débridement have been reported, a comparison of arthroscopic and open techniques has not been performed, to our knowledge. The purpose of this study was to compare the two methods of management. METHODS: A retrospective comparison of patients with septic arthritis of the wrist initially treated, over an eleven-year period, with open or arthroscopic irrigation and débridement was undertaken at a single institution...
March 2010: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/19487516/comparison-of-arthroscopic-and-open-treatment-of-septic-arthritis-of-the-wrist
#7
COMPARATIVE STUDY
Douglas M Sammer, Alexander Y Shin
BACKGROUND: Open irrigation and débridement is the standard of treatment for septic arthritis of the wrist. Although isolated cases of arthroscopic irrigation and débridement have been reported, a comparison of arthroscopic and open techniques has not been performed, to our knowledge. The purpose of this study was to compare the two methods of management. METHODS: A retrospective comparison of patients with septic arthritis of the wrist initially treated, over an eleven-year period, with open or arthroscopic irrigation and débridement was undertaken at a single institution...
June 2009: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/18043781/diagnostic-dilemmas-in-unusual-presentations-of-gout
#8
Christopher Hoe-Kong Chui, Jonathan Yi-Liang Lee
BACKGROUND: Gout is known to mimic conditions as diverse as joint and soft tissue infections, skin malignancies, nerve compression syndromes and soft tissue tumours. Upper limb involvement is unusual. OBJECTIVE: We discuss four cases of gout in the hand and wrist masquerading as a soft tissue tumour, nodular extensor tenosynovitis, septic arthritis of the wrist and acute and chronic median nerve compression. These cases illustrate that gout in the hand and wrist can resemble more sinister conditions, often posing a diagnostic challenge even to the experienced clinician...
November 2007: Australian Family Physician
https://www.readbyqxmd.com/read/17364076/the-value-of-joint-aspirations-in-the-diagnosis-and-management-of-arthritis-in-a-hospital-based-rheumatology-service
#9
Yong Yeow Chong, Kok Yong Fong, Julian Thumboo
INTRODUCTION: Although joint aspiration with synovial fluid analysis is useful in the diagnosis of crystal or septic arthritis, the frequency with which it provides a diagnosis or aids subsequent management of patients with arthritis has not been well quantified. We therefore evaluated the usefulness of joint aspiration in the diagnosis and management of patients with arthritis in a hospital-based rheumatology service. MATERIALS AND METHODS: We reviewed records of all patients with joint aspiration performed by an inpatient rheumatology service in a tertiary referral hospital from November 2003 to December 2004...
February 2007: Annals of the Academy of Medicine, Singapore
https://www.readbyqxmd.com/read/10555676/musculoskeletal-infections-us-manifestations
#10
REVIEW
N J Bureau, R K Chhem, E Cardinal
One of the most important prognostic factors in patients with musculoskeletal infections is the delay in establishing therapy. Early diagnosis of septic arthritis requires analysis of joint fluid. Ultrasonography (US) is a rapid, portable, sensitive technique for confirming the presence of joint effusions. The study can be easily repeated for follow-up of lesions. US allows real-time guidance of fluid aspiration and can reduce the risk of contaminating other anatomic compartments, especially in the hands, wrists, and feet...
November 1999: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/10479919/pneumococcal-arthritis-in-the-wrist-and-ankle-a-case-report-and-short-review-of-the-literature
#11
REVIEW
N Levi, J Peterson, C F Larsen, A Hede
In this paper we report a 48-year-old man with septic arthritis of the wrist and ankle due to Streptococcus pneumoniae. No known predisposing factor was found. Only about 300 cases of pneumococcal arthritis have been reported in the literature since 1888 and less than 10% of these affect the wrist. The management of bacterial arthritis is reviewed.
June 1999: Panminerva Medica
https://www.readbyqxmd.com/read/7233900/clinical-manifestations-of-synovial-cysts
#12
T B Burt, D K MacCarter, M I Gelman, C O Samuelson
Although synovial cysts are most commonly associated with rheumatoid arthritis and osteoarthritis, they may occur in many other conditions. The clinical manifestations of these cysts are numerous and may result from pressure, dissection or acute rupture. Vascular phenomena occur when popliteal cysts compress vessels, and result in venous stasis with subsequent lower extremity edema or thrombophlebitis. Rarely, popliteal cysts may cause arterial compromise with intermittent claudication. Neurological sequelae include pain, paresthesia, sensory loss, and muscle weakness or atrophy...
August 1980: Western Journal of Medicine
https://www.readbyqxmd.com/read/4064230/-osteoarthritis-in-infants-follow-up-and-treatment
#13
J Prévot, P Lascombes, D Mainard, J N Ligier, J P Metaizeau
For 25 years, 102 hematogenous septic arthritis have been observed in 82 newborns and infants. The hip joint was the most commun site of involvement (63 cases), than the knee (23 cases), the shoulder (7 cases), the elbow (5 cases), the ankle (3 cases) and one wrist. 14 times, two or more joints were involved. When the diagnosis was made early, an aspiration of pus and an irrigation of the joint was done. But in severe and delayed arthritis, an arthrotomy was preferred. In all cases, joints were immobilized in a post-operative cast or with a traction management, and parenteral antibiotics were prescribed...
1985: Chirurgie Pédiatrique
https://www.readbyqxmd.com/read/3200190/injuries-caused-by-pigs-in-papua-new-guinea
#14
P Barss, S Ennis
Pigs are intelligent animals that can be formidable adversaries to humans because of their sharp tusks and their ability to attack swiftly. Domestic and feral pigs have an important role in the ecology of village life in Melanesia. A six-year review of all injuries that were caused by pigs that were referred from the villages in Milne Bay Province, Papua New Guinea, to the Provincial Hospital was completed. Some of the injuries that were seen among the 20 patients who were studied included: three penetrating abdominal injuries with prolapse and strangulation of the intestine; a "sucking" chest wound; bilateral pneumothoraces; two infected open fractures of the radius and the ulna; a perforating injury of the knee with septic arthritis; a hand injury with laceration of multiple tendons; an arterial injury of the wrist; injury of a tibial nerve with foot drop; and a severe scrotal injury with exposure of the testicles...
December 5, 1988: Medical Journal of Australia
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