The wrist is a rare location of septic arthritis. It often involves patients with preexisting joint disease which symptoms could be confused with infection making the diagnosis more difficult and usually delayed. It is often responsible for residual functional impairment and for a high mortality rate among vulnerable patients. We report 6 cases of septic arthritis of the wrist in 3 males and 3 females. The mean age was 32 years in the male patients and 66 in the female patients. All the women were followed for rheumatoid arthritis. Biological results showed elevated rates of white blood cells and c-reactive protein in all the patients. Joint fluid analyses showed elevated white blood cell count. The treatment was medico-surgical consisting in synovectomy, joint debridement and immobilization of the wrist. At the average follow-up of 1 year and 4 months, 3 patients recovered a perfect mobility of the wrist without any limitation of the range of motion nor the strength. Three patients developed stiffness of the wrist.
Introduction: Inferior dislocation of the shoulder is a rare injury. Some specific complications may occur immediately or during follow-up. We present a rare case of erecta dislocation with a neurological injury. Case presentation: We report a 23-year-old female admitted for erecta dislocation on her right shoulder after sport accident complicated with a fracture of the greater tuberosity and axillary nerve palsy. A closed reduction had been indicated with a reduction of both fracture and dislocation. Functional treatment had been adopted. The neurapraxia had resolved spontaneously. At last outcome, the patient is satisfactory with a full range of motion on her right shoulder. Discussion: Inferior shoulder dislocation leads, usually to tears on soft tissue of the shoulder especially capsular, labral and inferior glenohumeral ligament. Immediate complications are serious such as neurological palsy and vascular problems. Indications depend on reducibility and associated injuries. Conclusion: Neurological complication especially neurapraxia is a serious injury but did not require open reduction and surgical exploration explained by the traction at the point where the axillary nerve passes through the quadrangular space.
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