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Chapter-032 Septic Arthritis in Adults

BOOK TITLE: Textbook of Orthopedics & Trauma (4 Volumes)

Author
1. Goel SC
2. Bhalla R
ISBN
9789385891052
DOI
10.5005/jp/books/12869_33
Edition
3/e
Publishing Year
2016
Pages
4
Author Affiliations
1. Amaravati, A23, Brij Enclave Sunderpur, Varanasi, Uttar Pradesh, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India, Trauma Society of India
2. Trauma Society of India
Chapter keywords
Septic arthritis, corticosteroids, hematogenous, arthrography, contiguous spread, direct spread, ESR, erythrocyte sedimentation rate

Abstract

This chapter discusses septic arthritis in adults. Septic arthritis of adult is not as common as of the childhood. The prevalence of nongonococcal septic arthritis in emergency department (ED) patients with a single acutely painful joint is approximately 27%. Septic arthritis is usually monoarticular; however, the possibility of polyarticular septic arthritis should be carefully considered, especially when patients are afebrile or have an underlying polyarticular joint disease such as rheumatoid arthritis. The diagnosis is based upon the clinical suspicion and investigations. All the clinical suspicion and the investigations lead to the diagnosis of the septic arthritis. The mainstay of treatment involves prompt debridement for removal of purulent material and early treatment with antibiotics. Traction or splints are used for it and isotonic exercises are initiated to prevent muscular atrophy.

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