Wright Sally, Welck Matthew James, Cohen Helen
Foot and Ankle Unit, Royal National Orthopaedic Hospital NHS Trust, Stanmore, UK.
Department of Rheumatology, Royal National Orthopaedic Hospital NHS Trust, Stanmore, UK.
BMJ Case Rep. 2018 Jan 26;2018:bcr-2017-222912. doi: 10.1136/bcr-2017-222912.
We present the second documented case of primary septic arthritis of the talonavicular joint. This patient had a number of medical comorbidities, including chronic widespread pain including the ipsilateral limb, which made diagnosis an even greater challenge. Although a clinical diagnosis, joint fluid aspiration remains the gold standard. Prompt surgical drainage with adjuvant antibiotic treatment is recommended, and management requires a multidisciplinary team approach. The aim of treatment is to avoid the sequelae of joint destruction, pain and foot deformity.
我们报告了第二例有记录的距舟关节原发性化脓性关节炎病例。该患者有多种合并症,包括同侧肢体的慢性广泛性疼痛,这使得诊断面临更大挑战。尽管是临床诊断,但关节腔穿刺抽液仍是金标准。建议及时进行手术引流并辅助抗生素治疗,且治疗需要多学科团队协作。治疗的目的是避免关节破坏、疼痛和足部畸形的后遗症。