5岁男孩肘关节化脓性关节炎的关节镜治疗：病例报告
Arthroscopic treatment of septic arthritis of the elbow in a 5-year-old boy: A case report.
作者信息
Mao Fengyong, Ni Lei, Ju Li
机构信息
Department of Orthopaedics Surgery, Children's Hospital of Nanjing Medical University, Nanjing 210000, Jiangsu Province, China.
Department of Orthopaedics Surgery, Children's Hospital of Nanjing Medical University, Nanjing 210000, Jiangsu Province, China.
出版信息
Int J Surg Case Rep. 2025 Mar;128:111041. doi: 10.1016/j.ijscr.2025.111041. Epub 2025 Feb 12.
INTRODUCTION
Septic arthritis of the elbow in children is rare but can lead to permanent joint damage if not treated promptly.
CASE PRESENTATION
We report a case of a 5-year-old boy diagnosed with septic arthritis of the elbow, treated with arthroscopy using a 4.5-mm arthroscope, followed by antibiotic therapy. Pre- and post-operative pain and functional outcomes were evaluated using the Visual Analog Scale (VAS) and the Mayo Elbow Performance Score (MEPS).
CLINICAL DISCUSSION
The patient achieved full range of motion within two weeks and completes recovery at six months.
CONCLUSION
This case demonstrates that arthroscopy is an effective, minimally invasive option for managing pediatric elbow septic arthritis.
引言
儿童肘部化脓性关节炎较为罕见，但如果不及时治疗，可能会导致永久性关节损伤。
病例报告
我们报告一例5岁男孩被诊断为肘部化脓性关节炎，采用4.5毫米关节镜进行关节镜检查治疗，随后进行抗生素治疗。使用视觉模拟评分法（VAS）和梅奥肘关节功能评分（MEPS）评估术前和术后的疼痛及功能结果。
临床讨论
患者在两周内实现了全关节活动范围，并在六个月时完全康复。
结论
该病例表明，关节镜检查是治疗儿童肘部化脓性关节炎的一种有效、微创的选择。
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