TY - JOUR
T1 - Clinical results after arthroscopic treatment for septic arthritis of the elbow joint
AU - Moon, Jun Gyu
AU - Bilaris, Sandeep
AU - Jeong, Wong Kyo
AU - Kim, Jung Hoon
PY - 2014/6
Y1 - 2014/6
N2 - Purpose The purpose of this study was to examine clinical findings of septic arthritis of the elbow joint in a series of immunocompetent patients and to evaluate the outcomes after arthroscopic treatment. Methods Between October 2006 and January 2012, 11 patients with septic arthritis of the elbow underwent arthroscopic surgery. History, laboratory findings, and radiologic findings were reviewed. Functional outcomes were evaluated using the Mayo Elbow Performance Score (MEPS). Results The study included 5 men and 6 women with a mean age of 45 years. An underlying medical disease was present in 1 patient (diabetes). Staphylococcus aureus was the most common organism identified (5 patients). There was 1 reoperation and no complications related to the arthroscopic procedure. Eight of 11 patients had excellent results assessed by MEPS at the final follow-up. The mean MEPS was 94.5 at the final follow-up. Conclusions Septic arthritis of the elbow joint can occur in otherwise healthy patients without pre-existing elbow disease. Arthroscopic irrigation and synovectomy are safe and effective in patients with septic arthritis and result in good functional outcomes. Level of Evidence Level IV, therapeutic case series.
AB - Purpose The purpose of this study was to examine clinical findings of septic arthritis of the elbow joint in a series of immunocompetent patients and to evaluate the outcomes after arthroscopic treatment. Methods Between October 2006 and January 2012, 11 patients with septic arthritis of the elbow underwent arthroscopic surgery. History, laboratory findings, and radiologic findings were reviewed. Functional outcomes were evaluated using the Mayo Elbow Performance Score (MEPS). Results The study included 5 men and 6 women with a mean age of 45 years. An underlying medical disease was present in 1 patient (diabetes). Staphylococcus aureus was the most common organism identified (5 patients). There was 1 reoperation and no complications related to the arthroscopic procedure. Eight of 11 patients had excellent results assessed by MEPS at the final follow-up. The mean MEPS was 94.5 at the final follow-up. Conclusions Septic arthritis of the elbow joint can occur in otherwise healthy patients without pre-existing elbow disease. Arthroscopic irrigation and synovectomy are safe and effective in patients with septic arthritis and result in good functional outcomes. Level of Evidence Level IV, therapeutic case series.
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U2 - 10.1016/j.arthro.2014.02.018
DO - 10.1016/j.arthro.2014.02.018
M3 - Article
C2 - 24680322
AN - SCOPUS:84901596437
SN - 0749-8063
VL - 30
SP - 673
EP - 678
JO - Arthroscopy - Journal of Arthroscopic and Related Surgery
JF - Arthroscopy - Journal of Arthroscopic and Related Surgery
IS - 6
ER -