Brülhart K B, Kossmann T
Departement Chirurgie, Universitätsspital Zürich.
Schweiz Med Wochenschr. 1993 Oct 16;123(41):1951-7.
Acute infections of the shoulder joint have to be considered as an emergency and must be treated immediately. The significance of an infected glenohumeral joint is demonstrated by the functional results, which are poorer than other in joint infections. Irreversible cartilage damage is already observable after one week, and impairment of motion resulting in invalidity may result. Early functional physiotherapy is necessary to avoid shoulder ankylosis. The etiology, characteristic clinical findings, radiologic examinations and different forms of therapy are summarized. By early diagnosis, with immediate and adequate therapy, it is possible to avoid devastating results.
肩关节急性感染必须被视为紧急情况，必须立即进行治疗。感染性盂肱关节的严重性通过功能结果得以体现，其功能结果比其他关节感染的情况更差。一周后即可观察到不可逆的软骨损伤，还可能导致运动功能受损，进而造成残疾。早期进行功能性物理治疗对于避免肩关节强直是必要的。本文总结了其病因、典型临床表现、影像学检查及不同的治疗方式。通过早期诊断并立即给予充分治疗，有可能避免出现严重后果。
