Ying C Ku, Mazen Al-Malak, Mychajlo S Kosyk, Ryan Khalaf, Diane Jo, Lianne Mulvihill, Jacob Lammers, Antonio Rampazzo, Bahar Bassiri Gharb
BACKGROUND: The existing diagnostic criteria for septic wrist are nonspecific, exposing patients with noninfectious etiologies to surgical morbidity. This study aimed to identify predictors differentiating septic wrist from other etiologies. METHODS: An institutional review board-approved retrospective review was conducted on patients with a presumed diagnosis of septic wrist (2003-2022). Bivariate and multiple regression analyses were performed to identify correlation between confirmed septic wrist and comorbidities (autoimmune diseases, immunosuppression, crystalline arthropathy, intravenous [IV] drug use, smoking), penetrating trauma, fever, multi-joint involvement, inflammatory markers (erythrocyte sedimentation rate [ESR]/C-reactive protein [CRP]/white blood cells [WBC]), serum uric acid level, blood cultures, imaging findings, and synovial fluid analysis...
March 26, 2024: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS