Arthroscopic treatment of psoas abscess concurrent with septic arthritis of the hip joint

Kim, Chul Ho; Kekatpure, Aditya; Lee, Soong Joon; Kim, Hyo June; Yoon, Kang Sup; Kim, Hee Joong; Yoon, Pil Whan

doi:10.5301/hipint.5000579

Cited by 8 publications

(11 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Kim et al described successful arthroscopic drainage of a psoas abscess concurrent with septic arthritis of the hip in adult patients. 8 However, to our knowledge, there has been no previous report of arthroscopic debridement of an intrapelvic abscess with concurrent septic hip. In this report, we describe an adult female who received arthroscopic debridement of a septic hip as well as an intrapelvic abscess.…”

mentioning

confidence: 89%

Arthroscopic Debridement of Intrapelvic Abscess With Coexistent Septic Hip in an Adult Female: A Technical Note

Seddigh

Bishop

Wong

2020

Arthroscopy, Sports Medicine, and Rehabilitation

View full text Add to dashboard Cite

The aim of this study was to describe the technique for debridement of an intrapelvic abscess through an arthroscopic approach. We present a 24-year-old female with an obturator internus muscle abscess that extended across the obturator membrane and into the hip joint. Decompression of the intrapelvic abscess through hip arthroscopy was planned after close examination of preoperative images. Intrapelvic space was safely accessed by hip arthroscopy. The patient was asymptomatic and had normalized biomarkers at 6 months; however, the abscess recurred at 1 year postoperation. Details of the technique for intrapelvic access and anatomic structures at risk are described in this study.

show abstract

mentioning

confidence: 89%

Arthroscopic Debridement of Intrapelvic Abscess With Coexistent Septic Hip in an Adult Female: A Technical Note

Seddigh

Bishop

Wong

2020

Arthroscopy, Sports Medicine, and Rehabilitation

View full text Add to dashboard Cite

show abstract

“…In each of these studies the species Staphylococcus aureus was the most common finding, with the exception of the study by Li et al [28], in which all the presented hip SA were sustained by Mycobacterium tuberculosis, and 4 studies in which the majority of patients had negative culture infections. Methicillin-sensitive Staphylococcus aureus (MSSA) was responsible for SA in a percentage of patients that varied from 2 to 37% [3,11,14,18,24,30,32,35,36,39,41], while 3 found an higher isolation rate for Methicillin Resistant S. aureus (MRSA) [13,15,31].…”

Section: Etiology and Pathogenesismentioning

confidence: 99%

“…Culture negative infections were reported to range from 16.7 to 78.4% [1,3,5,11,14,15,18,19,[24][25][26][27]30,32,35,36,38].. The cause of infection was clearly described in 10 papers included [3,12,18,21,28,31,35,38,39,41].…”

Section: Etiology and Pathogenesismentioning

confidence: 99%

Management of septic arthritis of the hip joint in adults. A systematic review of the literature

Balato

Matteo

Ascione

et al. 2021

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background The septic arthritis of the hip is a complex condition characterized by a variety of clinical presentations, a challenging diagnosis and different surgical treatment options, including arthroscopy, resection arthroplasty and one and two-stage total hip replacement. Each technique reports variable results in terms of infection eradication rate. The aim of this systematic review is to compare the most relevant studies available in current literature and to assess if a better treatment outcome can be predicted based on the microbiology, history, and type of infection (active vs quiescent) of each case. Methods A systematic review of the literature was performed in accordance with the PRISMA guidelines, including the studies dealing with the treatment of hip septic arthritis in adult patients. Electronic databases, namely the MEDLINE, Scopus, and Web of Science, were reviewed using a combination of following keywords “septic arthritis” AND “hip joint” OR “hip” AND “adult”. Results The total number of patients included in this review was 1236 (45% of which females), for 1238 hips. The most common pathogen isolated was Staphylococcus aureus in its Methicillin-sensitive variant ranging from 2 to 37% of cases. Negative cultures were the second most common finding. It was also differentiated the type of infection of the hip, 809 and 417 patients with active and quiescent hip infection, respectively, were analyzed. Eradication rates for two-stage revision arthroplasty ranged between 85 and 100%, for one-stage approach between 94 and 100%, while for arthroscopic debridement/lavage between 89 and 100%. Conclusion Staphylococcus aureus is the most common microorganism isolated followed by culture negative infections. Arthroscopic, one and two stage procedures can be effective in the treatment of hip septic arthritis when the indication is consistent with the type of infection retrieved. Level of evidence IV, therapeutic study.

show abstract

“…SA often involves immunocompromised patients with severe comorbidities and should be considered a medical emergency, requiring prompt diagnosis and treatment [1,3]. Early-stage SA can be efficiently treated through antibiotics and arthroscopic irrigation and debridement [4][5][6]. Though chronic infections are associated with wider joint degeneration and the infectious process could cause cavitary bone defects, which management can be complex for the orthopedic surgeon [7,8].…”

Section: Introductionmentioning

confidence: 99%

“…J o u r n a l P r e -p r o o f hepatic insufficiency(3), peptic ulcer (3), adrenal insufficiency (3), gouty arthritis (2), hypertension (2), drug addiction (2), neoplastic disease (3alcoholism (4), SLE (4), hepatic insufficiency (3), neoplastic disease (2), renal insufficiency (2), adrenal insufficiency (1), drug abuse (1) Kelm[31] CHD(6), arterial hypertension (4), DM (2), obesity (2), alcohol abuse (2), neoplastic disease (2), CPD (2), CRD (2), renal TBC (arterial hypertension(8), CHD (4), CRD (4), neoplastic disease (3), hypothyroidism (2), drug abuse (2), HCV (2), HIV (1), renal TBC (1), epilepsy (arterial hypertension (2), CPD (1), cirrhosis (1), syphilis (1), osteoporosis (1), gout (1), eczema (1)Xu[46] DM(9), RA (4), smokers(11), alcohol abuse (10), CHD(7), CPD (3DM (4), CPD (1), polytrauma (1), spine infection (1), Addison disease (1)J o u r n a l P r e -p r o o f drug abuse (4), HIV (3), HCV (4), CHD (6), CPD(5), epilepsy(1) …”

mentioning

confidence: 99%

Two-stage arthroplasty for septic arthritis of the hip and knee: A systematic review on infection control and clinical functional outcomes

Russo

Cavagnaro

Alessio-Mazzola

et al. 2022

Journal of Clinical Orthopaedics and Trauma

View full text Add to dashboard Cite

This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

show abstract

Arthroscopic treatment of psoas abscess concurrent with septic arthritis of the hip joint

Abstract: Arthroscopic debridement alone could be an effective treatment alternative to open surgery for psoas abscess concurrent with hip joint septic arthritis.

Cited by 8 publications

References 9 publications

Arthroscopic Debridement of Intrapelvic Abscess With Coexistent Septic Hip in an Adult Female: A Technical Note

Arthroscopic Debridement of Intrapelvic Abscess With Coexistent Septic Hip in an Adult Female: A Technical Note

Management of septic arthritis of the hip joint in adults. A systematic review of the literature

Two-stage arthroplasty for septic arthritis of the hip and knee: A systematic review on infection control and clinical functional outcomes

Contact Info

Product

Resources

About