骨科患者的术后莱姆关节炎。
Postoperative Lyme Arthritis in the Orthopaedic Patient.
机构信息
VCU-Fairfax Family Practice Sports Medicine Fellowship Program, Fairfax, Virginia.
Department of Family Medicine, Virginia Commonwealth University, Richmond, Virginia.
出版信息
Sports Health. 2019 Jul/Aug;11(4):350-354. doi: 10.1177/1941738119845671. Epub 2019 May 28.
CONTEXT
Lyme disease is the most common tick-borne illness in North America and Europe, and Lyme arthritis is a frequent late-stage manifestation in the United States. However, Lyme arthritis has rarely been reported as a postoperative complication.
EVIDENCE ACQUISITION
The PubMed database was queried through June 2018, and restricted to the English language, in search of relevant articles.
STUDY DESIGN
Clinical review.
LEVEL OF EVIDENCE
Level 3.
RESULTS
A total of 5 cases of Lyme arthritis as a postoperative complication have been reported in the literature.
CONCLUSION
These cases highlight the importance for providers practicing in Lyme-endemic regions to keep such an infection in mind when evaluating postoperative joint pain and swelling. We propose herein an algorithm for the workup of potential postoperative Lyme arthritis.
STRENGTH OF RECOMMENDATION TAXONOMY (SORT): C.
背景
莱姆病是北美和欧洲最常见的蜱传疾病，莱姆关节炎是美国常见的晚期表现。然而，莱姆关节炎作为术后并发症很少见。
证据采集
通过 2018 年 6 月在 PubMed 数据库中进行检索，仅限于英文文献，以寻找相关文章。
研究设计
临床综述。
证据水平
3 级。
结果
文献中总共报告了 5 例莱姆关节炎作为术后并发症。
结论
这些病例强调了在莱姆病流行地区行医的医生在评估术后关节疼痛和肿胀时，应考虑到这种感染的重要性。我们在此提出了一种用于潜在术后莱姆关节炎的检查算法。
推荐分类强度（SORT）：C。
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