Septic Arthritis of the Acromioclavicular Joint: An Uncommon Location

Martínez-Morillo, Melania; Soria, Lourdes Mateo; Frutos, Anne Riveros; Segura, Beatriz Tejera; Pérez, Susana Holgado; Marquès, Alejandro Olivé

doi:10.1016/j.reumae.2013.11.003

Cited by 12 publications

(16 citation statements)

References 18 publications

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“…Nevertheless, blood cultures are invaluable and are reportedly at least, if not more likely to yield a causative organism. 19,22 The high yield for blood cultures in this context is considered to reflect systemic bacteremia during hematogenous seeding of the joint. Screening for underlying causes of bacteremia, particularly endocarditis, has been suggested by some authors.…”

Section: Septic Arthritismentioning

confidence: 99%

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Acromioclavicular Joint Disease

McDonald

Hopper

2015

Semin Musculoskelet Radiol

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Section: Septic Arthritismentioning

confidence: 99%

“…Screening for underlying causes of bacteremia, particularly endocarditis, has been suggested by some authors. 19 The most frequently implicated causative organism is staphylococcus followed by streptococcus species 19,22 with isolated reports of more unusual causative organisms including Candida 23 and Ochrobactrum anthropi infection.…”

Section: Septic Arthritismentioning

confidence: 99%

Acromioclavicular Joint Disease

McDonald

Hopper

2015

Semin Musculoskelet Radiol

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“…This disease is most commonly seen in patients with a preexisting immunocompromised state; however, it has also been reported in patients without any predisposing comorbidities. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] With an increasing number of patients with compromised immune systems from etiologies such as diabetes, drug abuse, cancer, and chemotherapy, this disease process may become more prevalent in the future. We present a case series of three patients along with a review of the literature and propose an algorithm for diagnosing and treating septic arthritis of the AC joint.…”

Section: Introductionmentioning

confidence: 99%

Septic arthritis of the acromioclavicular joint: a case series and review of the literature

et al. 2018

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Objective To report a case series of three patients with septic arthritis of the acromioclavicular joint and a review of the literature for this condition. Additionally, we developed an algorithm for diagnosing and treating septic arthritis of the acromioclavicular joint. Methods A retrospective review of patients treated at our institution for septic arthritis of the acromioclavicular joint during the collection period was performed and three cases were identified. A review of the English literature on this rare condition was also performed with only 28 cases being identified. Results A series of three consecutive patients were treated for septic acromioclavicular arthritis with resolution of the infection. Two patients underwent open surgical debridement and one underwent aspiration. All patients were treated with a minimum of six weeks of tailored intravenous antibiotic therapy. Conclusion Septic arthritis of the acromioclavicular joint can be difficult to diagnose and requires a high index of suspicion. Surgical debridement, open or arthroscopic, with tailored antibiotic therapy is an effective means for the management of septic arthritis of the acromioclavicular joint. In patients who are unable to have surgical debridement, aspiration and tailored antibiotics have been shown to be effective.

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“…In the scant case reports, fistulization and acromioclavicular cyst recurrence are the main complications after needle aspiration, 4,5,8,9 so this practice is not recommended unless there is clinical suspicion of an infectious process. 10 The recommended treatment of these cysts is surgical removal of the tumor; the physician should be aware that, if case of a rotator cuff tear, repairs must be made before or during surgery. 2,3,5,8,9 Sometimes, faced with a relapse, intervention should include removal of the distal clavicle.…”

mentioning

confidence: 99%