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. 2015:2015:853974.
doi: 10.1155/2015/853974. Epub 2015 Dec 2.

Arthroscopic Treatment of Septic Arthritis of the Elbow in a 4-Year-Old Girl

Masashi Koide  1 , Yuichi Tojo  2 , Yoshihiro Hagiwara  3 , Souichi Nakajima  2 , Minoru Tanaka  2 , Masahito Honda  2 , Eiji Itoi  3
Affiliations

Arthroscopic Treatment of Septic Arthritis of the Elbow in a 4-Year-Old Girl

Masashi Koide et al. Case Rep Orthop. 2015.

Abstract

Pediatric septic arthritis is uncommon and has been traditionally treated by joint aspiration or open arthrotomy. There are some reports about arthroscopic surgery in pediatric septic arthritis of the knee, hip, and shoulder. However, there is no report for the case of elbow. We report a case of pediatric septic arthritis of elbow treated with arthroscopically with good clinical condition at 3-year follow-up. This paper is based on a report first published in Japanese (Tojo (2012)).

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Figures

Figure 1
Figure 1
Plain X-rays of the right elbow. There is no sign of osteolysis. (a) Lateral view. (b) Anteroposterior view.
Figure 2
Figure 2
A fat suppressed T2-weighted MRI. A sagittal MRI revealed a presence of joint fluid pooling in the elbow and swelling of soft tissues around the joint.
Figure 3
Figure 3
Arthroscopic observation of the right elbow. There was severe synovial proliferation in the joint.
Figure 4
Figure 4
Sequential changes of a CRP and a WBC counts. A CRP was still higher on day 3 and the arthroscopic surgery was performed. After the operation, the CRP level gradually decreased and normalized. OP: operation, CRP: C-reacting protein, and WBC: white blood cell.
See this image and copyright information in PMC

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