From the Department of Orthopaedics and Sports Medicine, Temple University Hospital, Philadelphia, PA (Dr. Jennings) and the Rothman Institute at Thomas Jefferson University, Philadelphia (Dr. Ilyas).
J Am Acad Orthop Surg. 2018 Feb 15;26(4):109-115. doi: 10.5435/JAAOS-D-16-00414.
Septic arthritis of the wrist is an uncommon condition, but one that can result in substantial morbidity. Timely identification and treatment is critical to patient care. No serum laboratory values have been shown to consistently confirm wrist joint infection. Thus, diagnosis is made based mainly on a thorough patient history, physical examination, and joint aspiration. When infection is suspected, aspiration of the wrist should be performed to confirm the diagnosis. Broad-spectrum antibiotics and joint aspiration or surgery are required to manage the infection and prevent sequelae.
腕关节化脓性关节炎并不常见,但可导致严重的发病率。及时识别和治疗对患者的护理至关重要。没有血清实验室值被证明可以始终如一地确认腕关节感染。因此,诊断主要基于详细的病史、体格检查和关节抽吸。当怀疑感染时,应进行腕关节抽吸以确认诊断。需要广谱抗生素和关节抽吸或手术来治疗感染并预防后遗症。