Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Secondary Septic Arthritis Due to Olecranon Bursitis -A Case Report-

주두 점액낭염(olecranon bursitis)에서 발생한 2차적 화농성 관절염(septic arthritis) -증례 보고 1례-

  • Ji, Jong-Hun (Department of orthopedic Surgery, Daejon St Marry's Hospital, The Catholic University of korea) ;
  • Kim, Weon-Yoo (Department of orthopedic Surgery, Daejon St Marry's Hospital, The Catholic University of korea) ;
  • Kim, Jin-Young (Department of orthopedic Surgery, Daejon St Marry's Hospital, The Catholic University of korea) ;
  • Jung, Sang-Ryoung (Department of orthopedic Surgery, Daejon St Marry's Hospital, The Catholic University of korea) ;
  • Kim, Ji-Chang (Department of Radiology, Daejon St. Marry's Hospital, The Catholic University of korea)
  • 지종훈 (가톨릭대학교 의과대학 대전성모병원 정형외과학교실) ;
  • 김원유 (가톨릭대학교 의과대학 대전성모병원 정형외과학교실) ;
  • 김진영 (가톨릭대학교 의과대학 대전성모병원 정형외과학교실) ;
  • 정상룡 (가톨릭대학교 의과대학 대전성모병원 정형외과학교실) ;
  • 김지창 (가톨릭대학교 의과대학 대전성모병원 방사선과학교실)
  • Published : 2003.12.01
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Abstract

Olecranon bursitis rarely Progresses to septic arthritis. In our case, the 24 year old woman was visited due to progressing right elbow pain, despite antibiotic treatment of chronic olecranon bursitis caused by elbow laceration 2 months ago. Pus draining sinus, localized heating and swelling could be seen on physical examination. Septic arthritis and pathologic fracture was diagnosed under arthroscopic examination. Arthroscopic irrigation and synovectomy for elbow joint, olecranon bursectomy and curettage of olecranon bone was done. In the operation field, the elbow and draining sinus over olecranon was communicated each other on saline irrigation test. The patient was treated for 3 weeks with intravenous antibiotics. At postoperative 4 weeks, bone graft was done. The possibility of chronic osteomyelitis and septic arthritis must be considered in a patient with chronic olecranon bursitis.

Keywords

References

  1. Arthroscopic management of pyarthrosis J. serge Parisien,M.D.,F.A.C.S., and Benjamin Shaffer, M.D. CORR March 27, 1990. 243-247
  2. Arthroscopic management of septic arthritis: stages of infection and results, Gordian Stutz, M.D., Markus S. Kuster, M.D., Frank Kleinstuck, M.D., Andre Gacher, M.D., Knee Surg, Sports Traumatol, Arthrosc(2000) 8: 270-274 https://doi.org/10.1007/s001670000129
  3. Fractureof the olecranon: a problem of management, Rettig AC, Waugh TR, Evanski PM,. J Trauma 19;23, 1979. https://doi.org/10.1097/00005373-197901000-00005
  4. Fractures of the olecranon in adults: classification and management, Barford B. As cited by Colton CL, Injury, 5:121, 1973. https://doi.org/10.1016/S0020-1383(73)80088-9
  5. Olecranon fractures: a clinical and radiographic comparision of tension band wiring and plate fixation, Hume MC, Wiss DA,.Clin Orthop 285:229, 1992.
  6. Operative treatment of olecranon fractures: excision or open reduction with internal fixation, Gartsman GM, Sculco TP, Otis JC,.JBJS 63A:718, 1981.
  7. Septic arthritis presenting as olecranon bursitis in patients with rheumatoid arthritis Donald A. Viggiano, M.D., John C Garrett, M.D., Mack L. Clayton, M.D. JBJS 1980 vol 62-a, no 6, 1011-1012
  8. Tuberculous arthritis of the elbow presenting as chronic bursitis of the olecranon, Scott F. Holder, M.D., Clark N. Hopson, M.D., Larry C. Vonkuster, M.D. JBJS 1985 vol 67-a, no 7, 1127-1129