تقرير
Septic arthritis of the wrist: about six cases.
العنوان: | Septic arthritis of the wrist: about six cases. |
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المؤلفون: | Triki MA; Orthopedic Surgery and Trauma Department, Sahloul Hospital, University of Sousse, Sousse, Tunisia., Naouar N; Orthopedic Surgery and Trauma Department, Sahloul Hospital, University of Sousse, Sousse, Tunisia., Benzarti S; Orthopedic Surgery and Trauma Department, Sahloul Hospital, University of Sousse, Sousse, Tunisia., Kaziz H; Orthopedic Surgery and Trauma Department, Sahloul Hospital, University of Sousse, Sousse, Tunisia., Mouelhi T; Orthopedic Surgery and Trauma Department, Sahloul Hospital, University of Sousse, Sousse, Tunisia., Ayeche MLB; Orthopedic Surgery and Trauma Department, Sahloul Hospital, University of Sousse, Sousse, Tunisia. |
المصدر: | The Pan African medical journal [Pan Afr Med J] 2019 Jul 19; Vol. 33, pp. 237. Date of Electronic Publication: 2019 Jul 19 (Print Publication: 2019). |
نوع المنشور: | Case Reports |
اللغة: | English |
بيانات الدورية: | Publisher: African Field Epidemiology Network Country of Publication: Uganda NLM ID: 101517926 Publication Model: eCollection Cited Medium: Internet ISSN: 1937-8688 (Electronic) NLM ISO Abbreviation: Pan Afr Med J Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: Kampala, Uganda : African Field Epidemiology Network |
مواضيع طبية MeSH: | Arthritis, Infectious/*surgery , Debridement/*methods , Wrist Joint/*surgery, Adult ; Aged ; Arthritis, Infectious/diagnosis ; Arthritis, Infectious/pathology ; Arthritis, Rheumatoid/complications ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Range of Motion, Articular ; Retrospective Studies ; Treatment Outcome ; Wrist Joint/pathology |
مستخلص: | The wrist is a rare location of septic arthritis. It often involves patients with preexisting joint disease which symptoms could be confused with infection making the diagnosis more difficult and usually delayed. It is often responsible for residual functional impairment and for a high mortality rate among vulnerable patients. We report 6 cases of septic arthritis of the wrist in 3 males and 3 females. The mean age was 32 years in the male patients and 66 in the female patients. All the women were followed for rheumatoid arthritis. Biological results showed elevated rates of white blood cells and c-reactive protein in all the patients. Joint fluid analyses showed elevated white blood cell count. The treatment was medico-surgical consisting in synovectomy, joint debridement and immobilization of the wrist. At the average follow-up of 1 year and 4 months, 3 patients recovered a perfect mobility of the wrist without any limitation of the range of motion nor the strength. Three patients developed stiffness of the wrist. Competing Interests: The authors declare no competing interests. (© Mohamed Amine Triki et al.) |
References: | Hand Surg. 2015 Oct;20(3):391-5. (PMID: 26387999) J Bone Joint Surg Am. 1983 Jul;65(6):824-8. (PMID: 6863365) J Hand Surg Am. 2011 Mar;36(3):469-74. (PMID: 21186086) J Am Acad Orthop Surg. 2018 Feb 15;26(4):109-115. (PMID: 29329124) Case Reports Plast Surg Hand Surg. 2016 Nov 13;3(1):79-82. (PMID: 27990457) J Bone Joint Surg Am. 2010 Mar;92 Suppl 1 Pt 1:107-13. (PMID: 20194349) Infection. 2014 Apr;42(2):379-84. (PMID: 24307329) Orthopedics. 2017 May 1;40(3):e526-e531. (PMID: 28399321) |
فهرسة مساهمة: | Keywords: Septic arthritis; antibiotics; results; surgery; treatment; wrist |
تواريخ الأحداث: | Date Created: 20191107 Date Completed: 20191121 Latest Revision: 20191121 |
رمز التحديث: | 20231215 |
مُعرف محوري في PubMed: | PMC6814897 |
DOI: | 10.11604/pamj.2019.33.237.14926 |
PMID: | 31692731 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1937-8688 |
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DOI: | 10.11604/pamj.2019.33.237.14926 |