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KMID : 0377220020270010100
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Medical Journal of Chosun Univercity
2002 Volume.27 No. 1 p.100 ~ p.104
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Arthroscopic Management of the Septic Shoulder
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Moon Young-Lae
You Jae-Won
Sim Hyoung-Jun
Park Jun-Kwang
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Abstract
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Purpose : The purpose of this study is to evaluate the usefulness of arthroscopic drainage in the management of septic arthritis of the shoulder.
Materials and methods : The cases of nine septic glenohumeral joints were evaluated. Each patient was treated by arthroscopic irrigation and necrotic synovectomy, combined with parenteral antibiotics. Result In five of nine shoulders in which treatment was begun four weeks or less after symptoms appeared, a satisfactory functional outcome was obtained, while four patients who were treated after a delay of more than four weeks had poor results.
Conclusion : The most significant factors leading to poor results of treatment were delay in instituting treatment, virulence of the infecting organism, and a serious process of underlying disease. Arthroscopic drainage is a valuable procedure for the treatment of the septic arthritis of shoulder. Arthroscopic drainage is a method that has proved effective, with minimal morbidity, in attempts to cure septic arthritis of the shoulder.
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KEYWORD
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Shoulder, Septic Arthritis, Arthroscopy
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