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Severe septic arthritis of the shoulder with an axillary nerve lesion in a 4-year-old child.

机译:一名4岁儿童的肩部严重化脓性关节炎伴腋神经病变。

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摘要

Septic arthritis in children frequently affects the joints of the lower extremity, namely the hip and the knee [1-3]. Infection in the glenohumeral joint is rare [4-7], representing 4% of all joint infections [4, 5]. Arthralgia, joint swelling, fever and pseudoparalysis are the most commonly observed symptoms [1, 4, 5, 8]. Diagnosis and thus appropriate management are often delayed [4] and therefore early disease recognition and treatment play a significant role in minimising the risk of developing complications such as joint surface destruction, growth arrest, adjacent osteomyelitis, and loss of joint movement [1, 4-6]. Brachial plexopathy, is infrequently reported [13], and a lesion to the axillary nerve specifically has not yet been reported in literature to our knowledge. Treatment aims include adequate washout and debridement of the joint with the objective of relieving pain and restoring function [5]. This can be achieved either via arthrotomy or arthroscopically [2, 5].
机译:儿童的化脓性关节炎经常会影响下肢的关节,即髋关节和膝关节[1-3]。盂肱关节感染极少[4-7],占所有关节感染的4%[4,5]。关节痛,关节肿胀,发烧和假性麻痹是最常见的症状[1、4、5、8]。诊断和适当的治疗常常会延迟[4],因此疾病的早期识别和治疗在将并发症(例如关节表面破坏,生长停滞,邻近的骨髓炎和关节运动丧失)的风险降至最低的过程中发挥着重要作用[1,4] -6]。臂丛神经病变很少报道[13],据我们所知,尚未具体报道腋神经损伤。治疗目的包括充分冲洗和清创关节,以减轻疼痛和恢复功能[5]。这可以通过关节切开术或通过关节镜实现[2,5]。

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