Format

Send to

Choose Destination
J Pediatr Orthop. 2011 Apr-May;31(3):e8-15. doi: 10.1097/BPO.0b013e31820ea983.

Septic arthritis associated with closed intra-articular fracture: a case series.

Author information

1
Department of Orthopaedic Surgery, University of California, San Diego Medical Center, San Diego, CA 92103-8894, USA. vkulkarni@ucsd.edu

Abstract

BACKGROUND:

Osteomyelitis in the setting of closed fractures is a recognized association in the literature, but to our knowledge, septic arthritis after a closed intra-articular fracture has not yet been reported.

METHODS:

We conducted a retrospective review of 3 cases of septic arthritis after closed intra-articular fractures of the proximal phalanx of the great toe, distal tibia, and distal humerus.

RESULTS:

The patients presented with fever, erythema, pain, and elevated infectious indices. All patients had a delay in diagnosis of up to 10 days. On diagnosis, all patients underwent open irrigation and debridement and were treated with organism-specific antibiotics for Staphylococcus aureus or Streptococcus pneumoniae. One patient required metatarsophalangeal joint arthrodesis, whereas the other 2 patients returned to full function after a prolonged treatment course.

CONCLUSIONS:

Septic arthritis after closed intra-articular fracture is a rare clinical condition and requires prompt diagnosis and treatment.

LEVEL OF EVIDENCE:

Level IV.

PMID:
21415677
DOI:
10.1097/BPO.0b013e31820ea983
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wolters Kluwer
Loading ...
Support Center