Master R, Weisman M H, Armbuster T G, Slivka J, Resnick D, Goergen T G
Arthritis Rheum. 1977 Nov-Dec;20(8):1500-6. doi: 10.1002/art.1780200809.
Seven patients (eight shoulders) with sepsis of the glenohumeral joint were studied clinically and radiographically. Despite the advanced age of the patients, the presence of gram-negative organisms, and multiple risk factors in each patient (including serious chronic underlying diseases), needle drainage and parenteral antibiotics were all that were required for successful management, provided early diagnosis with prompt institution of antibiotics and drainage occurred. Contrast arthrography safely guided therapy and revealed rotator cuff tears in four of six shoulders as well as frequent extra-articular extensions of the disease. A nonleukemic patient with Aeromonas hydrophilia sepsis and arthritis is reported who survived with eradication of infection and preservation of joint function. A poor prognosis for shoulder sepsis is not substantiated.
对7例（8个肩关节）发生盂肱关节脓毒症的患者进行了临床和影像学研究。尽管患者年龄较大，存在革兰氏阴性菌，且每位患者都有多种风险因素（包括严重的慢性基础疾病），但只要能早期诊断并及时使用抗生素和进行引流，成功治疗仅需穿刺引流和胃肠外使用抗生素。关节造影安全地指导了治疗，并在6个肩关节中的4个发现了肩袖撕裂以及该疾病常见的关节外扩展。报告了1例非白血病患者，其患有嗜水气单胞菌脓毒症和关节炎，经感染根除及关节功能保留后存活。肩关节脓毒症预后不良的说法未得到证实。
