Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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MRI of Acute Septic Arthritis of the Shoulder Joint; Correlation with Arthroscopic Findings

급성 화농성 견관절염의 자기공명영상; 관절경적 소견과의 비교 연구

  • Seo Kyung-Jin (Department of Diagnostic Radiology, College of Medicine, Dankook University) ;
  • Cheon Sang-Ho (Department of Orthopedic Surgery, College of Medicine, Kyungpook National University) ;
  • Seo Jae-Sung (Department of Orthopedic Surgery, College of Medicine, Yeungnam University) ;
  • Ko Sang-Hun (Department of Orthopedic Surgery, Ulsan University Hospital) ;
  • Choi Chang-Hyuk (Department of Orthopedic Surgery, College of Medicine, Catholic University of Daegu) ;
  • Jeon In-Ho (Department of Orthopedic Surgery, College of Medicine, Kyungpook National University)
  • 서경진 (단국대학교 의과대학 진단방사선과학교실) ;
  • 천상호 (경북대학교 의과대학 정형외과학교실) ;
  • 서재성 (영남대학교 의과대학 정형외과학교실) ;
  • 고상훈 (울산대학교 정형외과학교실) ;
  • 최창혁 (대구가톨릭대학교 의과대학 정형외과학교실) ;
  • 전인호 (경북대학교 의과대학 정형외과학교실)
  • Published : 2005.12.01
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Abstract

Purpose: Urgent diagnosis and treatment of the septic arthritis is required. The purpose of this study is to review to correlate preoperative MRI findings with arthroscopic findings in septic arthritis of the glenohumeral joint. Materials and Methods: Eleven patients with acute septic arthritis of the glenohumeral joint were treated with combination of arthroscopic lavage, debridement, and systemic antibiotics. The arthroscopic staging of infection was made based on the modified criteria of $G\"{a}chter$ and five major findings of MRI were marked in each stage of septic shoulder. Results: Bone and cartilage erosion was the end stage finding and two patients with all five positive findings had failed with arthroscopic treatment. Reactive bone marrow edema was evident in the greater tuberosity. Joint effusion, synovial thickening and soft tissue edema were rather non-specific finding and presented in all stages of septic shoulder. Conclusion: Diffuse marrow edema with metaphyseal cyst formation in the preoperative MRI implied advanced stage of septic arthritis, which may fail with arthroscopic debridement.

Keywords

References

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