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Pubmed for Handhelds

PUBMED FOR HANDHELDS

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  • Title: Septic arthritis of the shoulder joint: an analysis of management and outcome.
    Author: Klinger HM, Baums MH, Freche S, Nusselt T, Spahn G, Steckel H.
    Journal: Acta Orthop Belg; 2010 Oct; 76(5):598-603. PubMed ID: 21138213.
    Abstract:
    We retrospectively reviewed the records of 21 patients (23 shoulders) who underwent surgical treatment for septic arthritis of the shoulder joint, between 2000 and 2007. Patients were on average 63.7 (41-85) years old; they were treated either by arthroscopic debridement (12 shoulders) or by combined arthroscopic and open procedures (11 shoulders). The mean duration of symptoms prior to surgery was 16 (5-76) days. The mean Constant score recorded at the last follow-up - on average 353 months (25-43) after surgery - was 73 (46-82) points. Patients with symptoms for two weeks or less prior to surgery had better results and a lower re-operation rate than those with symptoms longer than two weeks. Early infection can be managed arthroscopically, and satisfactory results can be expected. In advanced infection, a more radical approach is more appropriate.
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