Septic arthritis of the acromioclavicular joint

Hammel, Jean M.; Kwon, Nancy

doi:10.1016/j.jemermed.2005.05.004

Cited by 41 publications

(26 citation statements)

References 5 publications

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“…S. pneumoniae was isolated in 2 of these patients, both with hematologic malignancies [4, 5]. Echocardiography was reported in 4 cases and described IE in 2 of them [6–8]. One of these reports described a 74-year-old man who presented with unilateral AC joint septic arthritis caused by S. aureus and was ultimately found to have IE of the mitral and aortic valves, complicated by cerebellar septic emboli [6].…”

Section: Discussionmentioning

confidence: 99%

Bilateral Acromioclavicular Septic Arthritis as an Initial Presentation ofStreptococcus pneumoniaeEndocarditis

Hashemi‐Sadraei

Gupta

Machicado

et al. 2014

Case Reports in Infectious Diseases

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Section: Discussionmentioning

confidence: 99%

Bilateral Acromioclavicular Septic Arthritis as an Initial Presentation ofStreptococcus pneumoniaeEndocarditis

Hashemi‐Sadraei

Gupta

Machicado

et al. 2014

Case Reports in Infectious Diseases

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“…4 The most common causes of septic arthritis of the AC joint are trauma, recent surgery, and hematogenous seeding. 4,27 Risk factors include age, history of intravenous drug use, past surgery, prior joint disease, intra-articular injection, rheumatoid arthritis, diabetes, immune deficiency, alcoholism, and sickle cell anemia. 4,27,29 Last, instability can contribute to joint degeneration due to local elevation of contact stresses, dynamic loss of joint congruity, and alterations in range of motion.…”

Section: Origin Of Degeneration Of the Ac Jointmentioning

confidence: 99%

“…4,27 Risk factors include age, history of intravenous drug use, past surgery, prior joint disease, intra-articular injection, rheumatoid arthritis, diabetes, immune deficiency, alcoholism, and sickle cell anemia. 4,27,29 Last, instability can contribute to joint degeneration due to local elevation of contact stresses, dynamic loss of joint congruity, and alterations in range of motion. 42,43 A spectrum of instability is present that ranges from subtle to gross instability, but even subtle instability must be identified because it can lead to complications following AC joint resection in patients who fail nonoperative measures.…”

Section: Origin Of Degeneration Of the Ac Jointmentioning

confidence: 99%

Degenerative Joint Disease of the Acromioclavicular Joint

Mall¹,

Foley

Chalmers

et al. 2013

Am J Sports Med

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Osteoarthritis of the acromioclavicular (AC) joint is a common condition causing anterior or superior shoulder pain, especially with overhead and cross-body activities. This most commonly occurs in middle-aged individuals because of degeneration to the fibrocartilaginous disk that cushions the articulations. Diagnosis relies on history, physical examination, imaging, and diagnostic local anesthetic injection. Diagnosis can be challenging given the lack of specificity with positive physical examination findings and the variable nature of AC joint pain. Of note, symptomatic AC osteoarthritis must be differentiated from instability and subtle instability, which may have similar symptoms. Although plain radiographs can reveal degeneration, diagnosis cannot be based on this alone because similar radiographic findings can be seen in asymptomatic individuals. Nonoperative therapy can provide symptomatic relief, whereas patients with persistent symptoms can be considered for resection arthroplasty by open or arthroscopic technique. Both techniques have proven to provide predictable pain relief; however, each has its own unique set of potential complications that may be minimized with an improved understanding of the anatomical and biomechanical characteristics of the joint along with meticulous surgical technique.

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“…The rich blood supply to the metaphyses of the large joints favors infection of the knee, hip, and glenohumeral shoulder joints. 6 During the past several years, the frequency of infections caused by S. aureus has significantly increased and continues to be associated with high morbidity and mortality. The organism is the most common bacterial pathogen causing septic arthritis accounting for up to two-thirds of all organisms isolated from blood or joints in such patients.…”

mentioning

confidence: 99%