The Shoulder

Septic Arthritis

Usually in elderly people. Predisposing factors are: immune deficiency, diabetes, alcoholism and malnutrition.

After a direct inoculation of bacteria into the joint (intra-articular injection?) Sometimes by haematogenous dissemination.

Acute onset of a capsular pattern ( in one or two days).

The capsulair pattern is very pronounced with a spastic endfeel ; Local signs of intense inflammation: the skin is swollen, warm and red.

Generalized illness: high temperature, nausea and toxaemia.

Treatment:

• Local: daily evacuation of the pus, sometimes operative drainage of the joint.
• Antibiotics.

Literature

[Start]

[Main shoulder]

[Flowcharts shoulder]

[A System of Orthopaedic Medicine]

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