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孤立性肩锁关节化脓性关节炎:一例报告及文献综述

Isolated Acromioclavicular Joint Septic Arthritis: A Case Report and Review of Literature.

作者信息

Ramanan Anandu, Balasubramanian Vijayanand, C Rishab, Sami Palani

机构信息

Orthopaedics, SRM Medical College, Chennai, IND.

出版信息

Cureus. 2024 Jul 1;16(7):e63590. doi: 10.7759/cureus.63590. eCollection 2024 Jul.

Abstract

A 60-year-old diabetic patient presented with acute pain and swelling localized to the left acromioclavicular joint. Laboratory and radiological investigations revealed the presence of pus in the left acromioclavicular joint along with bony erosion of the lateral end of the left clavicle. She was treated with open arthrotomy, debridement, and appropriate antibiotics for the causative methicillin-resistant Staphylococcus aureus (MRSA) infection. Prompt diagnosis and timely intervention can reduce the morbidity and mortality due to septic arthritis. We conducted a review of the literature on patients treated for isolated septic arthritis of the acromioclavicular joint.

摘要

一名60岁的糖尿病患者出现左肩锁关节局部急性疼痛和肿胀。实验室和影像学检查显示左肩锁关节有脓液,同时左锁骨外侧端有骨质侵蚀。她接受了切开手术、清创术,并使用了针对致病性耐甲氧西林金黄色葡萄球菌(MRSA)感染的适当抗生素进行治疗。及时诊断和适时干预可降低化脓性关节炎导致的发病率和死亡率。我们对治疗肩锁关节孤立性化脓性关节炎患者的文献进行了综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/282a/11290473/4065be7366cc/cureus-0016-00000063590-i01.jpg

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