J Korean Orthop Assoc.  2010 Aug;45(4):321-325.

Arthroscopic Treatment for Septic Arthritis of the Shoulder in Neonates

Affiliations
  • 1Department of Orthopedic Surgery, Soonchunhyang University College of Medicine, Seoul, Korea. honzi@hanmail.net

Abstract

Septic arthritis of the shoulder joint in a neonate is very rare. Damage to the growth plate and ossification center of the proximal humerus may lead to disability of the shoulder joint. Therefore, early diagnosis and proper treatment are very important. We treated septic arthritis of the shoulder joint in a 9-day old newborn baby by arthroscopic irrigation and debridement using a 2.4 mm wrist arthroscope instrument. We could achieve a satisfactory result by inspecting the inside condition of the joint directly, removing granulation tissues and debris and washing out the joint by arthroscopy.

Keyword

neonate; shoulder; septic arthritis; arthroscopy

MeSH Terms

Arthritis, Infectious
Arthroscopes
Arthroscopy
Debridement
Early Diagnosis
Granulation Tissue
Growth Plate
Humans
Humerus
Infant, Newborn
Joints
Shoulder
Shoulder Joint
Wrist

Figure

  • Figure 1 T2 fat suppression coronal (A) and enhanced T1 fat suppression axial (B) MR images show pus pocket (arrow) with synovial hypertrophy and high signal change around muscle.

  • Figure 2 Initial arthroscopic finding shows in flammatory granulation tissues at superior (A) and inferior (B) aspect of joint space.

  • Figure 3 Postoperative arthroscopic finding after debridement and irrigation of joint (B) shows clear joint space.


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