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脓毒性关节炎的诊断与管理:当前概念综述

Diagnosis and management of septic arthritis: A current concepts review.

作者信息

Sanpera Ignacio, Salom Marta, Alves Cristina, Eastwood Deborah

机构信息

Hospital Universitario Son Espases, Palma de Mallorca, Illes Balears, Spain.

Hospital Universitario y Politécnico La Fe, Valencia, Spain.

出版信息

J Child Orthop. 2025 Jan 2;19(1):14-19. doi: 10.1177/18632521241311302. eCollection 2025 Feb.

Abstract

Correct diagnosis and treatment of septic arthritis (SA) are essential to achieve satisfactory results and avoid lifelong consequences. Diagnosing septic arthritis is not always easy, which is why new biomarkers have been sought. Another difficulty in diagnosis is the increase in septic arthritis due to Kingella Kingae, which does not show the same signs and symptoms as classic infections. Increasingly, magnetic resonance imaging plays a more fundamental role in diagnosing septic arthritis, and many studies are focused on this line, especially for the study of associated pathologies. Numerous studies have been published on less invasive treatments for septic arthritis, although the evidence suggests that the results should be taken cautiously. Although most of the published studies focus on the hip and knee, there have also been recent publications on SA in the upper limb, foot, and ankle. Finally, the literature also pays attention to SA in young children due to its different etiology and the greater difficulties in its diagnosis.

摘要

正确诊断和治疗化脓性关节炎(SA)对于取得满意疗效并避免终身后果至关重要。诊断化脓性关节炎并非总是易事,这就是为何一直在寻找新的生物标志物。诊断的另一个困难在于因金氏金杆菌导致的化脓性关节炎有所增加,其表现出的体征和症状与典型感染不同。磁共振成像在诊断化脓性关节炎中发挥着越来越重要的基础作用,许多研究都聚焦于此方向,尤其是对于相关病理学的研究。关于化脓性关节炎的微创治疗已发表了大量研究,尽管证据表明对这些结果应谨慎看待。虽然大多数已发表的研究集中在髋部和膝部,但近期也有关于上肢、足部和踝部化脓性关节炎的出版物。最后,鉴于其不同的病因以及诊断上的更大困难,文献也关注幼儿的化脓性关节炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f6e/11786264/fb1135e478c4/10.1177_18632521241311302-fig1.jpg

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