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Related Experiment Videos

Septic shoulders in children

D Schmidt, S Mubarak, R Gelberman

    Journal of Pediatric Orthopedics
    |January 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Septic arthritis of the glenohumeral joint is common in infants. Early diagnosis and surgical intervention, including arthrotomy and bone decompression, are crucial for effective treatment in children.

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    Area of Science:

    • Pediatric Orthopedics
    • Infectious Diseases
    • Pediatric Rheumatology

    Background:

    • Septic arthritis of the glenohumeral joint is a serious condition in children.
    • Early diagnosis and treatment are essential to prevent long-term joint damage.

    Purpose of the Study:

    • To review the clinical characteristics, diagnostic findings, and treatment outcomes of pediatric patients with septic arthritis of the glenohumeral joint.
    • To evaluate the effectiveness of surgical management, including arthrotomy and bone decompression.

    Main Methods:

    • Retrospective review of nine pediatric patients diagnosed and treated for septic arthritis of the glenohumeral joint.
    • Analysis of clinical presentation, laboratory findings, radiographic evidence, microbiological data, and treatment strategies.

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    Main Results:

    • Eight of nine patients were under 18 months of age.
    • Common findings included elevated white blood cell count, fever, elevated sedimentation rate, and joint space widening on radiographs.
    • Osteomyelitis of the proximal humerus was present in five patients.
    • Joint cultures identified various organisms.

    Conclusions:

    • Septic arthritis of the glenohumeral joint in children often presents in infants and can be associated with osteomyelitis.
    • Prompt diagnosis via aspiration followed by surgical management, including arthrotomy and decompression, is recommended.