Gelberman R H, Menon J, Austerlitz M S, Weisman M H
J Bone Joint Surg Am. 1980;62(4):550-3.
The cases of fifteen patients with sixteen septic glenohumeral joints were evaluated. In each of the patients there was at least one predisposing factor, and each patient was treated by either repeated aspiration (eleven shoulders) or arthrotomy (five shoulders), combined with parenteral antibiotics. The most significant factors leading to poor results of treatment were delay in instituting treatment, virulence of the infecting organism, and a serious underlying disease process. In eight of ten shoulders in which treatment was begun four weeks or less after symptoms appeared, a satisfactory functional outcome was obtained, while all six patients who were treated after a delay of more than four weeks had poor results. All six patients infected with Streptococcus or coagulase-negative Staphylococcus had satisfactory results. Two of the eight patients with Staphylococcus aureus or gram-negative organisms also had a satisfactory result, while the other six did not. The two successfully treated patients with Staphylococcus aureus were diagnosed within three days of the onset of symptoms, whereas the others had delays in instituting treatment.
对15例患者的16个感染性肩关节病例进行了评估。每个患者至少有一个诱发因素，每位患者均接受了反复穿刺抽吸（11个肩关节）或关节切开术（5个肩关节）治疗，并联合使用肠外抗生素。导致治疗效果不佳的最主要因素是治疗开始延迟、感染病原体的毒力以及严重的基础疾病进程。在症状出现后四周或更短时间内开始治疗的10个肩关节中，有8个获得了满意的功能结果，而所有6例在延迟超过四周后才接受治疗的患者治疗效果不佳。所有6例感染链球菌或凝固酶阴性葡萄球菌的患者均取得了满意的结果。8例感染金黄色葡萄球菌或革兰氏阴性菌的患者中有2例也取得了满意的结果，而其他6例则没有。2例成功治疗的金黄色葡萄球菌感染患者在症状出现后三天内被确诊，而其他患者治疗开始延迟。
