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《脓毒症手腕的处理:病因学和治疗策略的系统评价》。

Management of the Septic Wrist: A Systematic Review of Etiology and Therapeutic Strategies.

机构信息

Institute of Microbiology and Infection, School of Biosciences, Univeristy of Birmingham, Edgbaston, B15 2TT, England.

UNMHSC Department of Orthopedics and Rehabilitation, 1 University of New Mexico, MSC 10-5600, Albuquerque, NM 87131, USA.

出版信息

Orthop Clin North Am. 2024 Apr;55(2):273-283. doi: 10.1016/j.ocl.2023.11.002. Epub 2023 Dec 9.

Abstract

Septic arthritis of the wrist can have severe deleterious effects on cartilage and bone if not promptly addressed. Expedient diagnosis and early medical intervention are important. The most effective strategy involves immediate arthrocentesis of the infected joint, enabling precise antibiotic selection based on joint fluid analysis. Diagnostic imaging is important in excluding fractures and identifying abscesses. This review explores the etiologic factors underlying septic wrist joint, identifying risk factors, and delineating optimal diagnosis and treatment approaches. The overarching goal is to impart valuable insights and guidance in the management of septic wrist joint, ensuring the highest quality patient care and optimal clinical outcomes.

摘要

如果不及时处理,手腕化脓性关节炎会对软骨和骨骼造成严重的损害。及时诊断和早期医学干预非常重要。最有效的策略是立即对感染关节进行关节穿刺,以便根据关节液分析结果选择精确的抗生素。诊断性影像学检查对于排除骨折和识别脓肿非常重要。本综述探讨了化脓性腕关节炎的病因因素,确定了危险因素,并阐述了最佳的诊断和治疗方法。总体目标是在管理化脓性腕关节炎方面提供有价值的见解和指导,确保为患者提供最高质量的护理和最佳的临床结果。

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