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Prognostic factors affecting the clinical outcome of septic arthritis of the shoulder

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Author(s)
Chul-Hyun ChoGeon-Myeong Oh
Keimyung Author(s)
Cho, Chul Hyun
Department
Dept. of Orthopedic Surgery (정형외과학)
Journal Title
Journal of Hand Surgery Asian-Pacific Volume
Issued Date
2016
Volume
21
Issue
3
Keyword
ShoulderSeptic arthritisClinical outcomePrognostic factor
Abstract
Background: The objective of this study was to determine prognostic factors affecting the clinical outcome of septic arthritis of the shoulder.

Methods: We retrospectively reviewed 34 shoulders from 32 patients, two of which had bilateral involvement. Arthroscopic (22 shoulders) or open surgery (12 shoulders) was performed by a single surgeon. The mean follow-up period was 32.4 ± 17.0 months. Clinical outcomes according to the University of California at Los Angeles (UCLA) score, American Shoulder and Elbow Surgeons (ASES) score, and Subjective Shoulder Value (SSV) were assessed at the final follow-up period. Various factors were included for statistical analysis.

Results: The mean UCLA, ASES scores, and SSV were 28.9 ± 7.2, 81.3 ± 21.0, 79.7 ± 2.5%, respectively. Positive culture was observed in only 13 shoulders (38.2%) and the most common organism was Staphylococcus aureus (seven shoulders). Five shoulders (14.7%) required two or three operations. Age and comorbidity were negatively correlated with the UCLA, ASES score, and/or SSV (p < 0.05). There was no correlation between clinical outcome and various parameters, including gender, location of lesion, history of previous steroid injection, interval between onset of symptoms and surgical intervention, bacterial organisms, operative method, and presence of rotator cuff tear and reoperation (p > 0.05).

Conclusions: Both arthroscopic and open surgery for septic shoulders showed satisfactory clinical outcomes. Old age and comorbidity were poor prognostic factors of clinical outcomes after treatment.
Keimyung Author(s)(Kor)
조철현
Publisher
School of Medicine
Citation
Chul-Hyun Cho and Geon-Myeong Oh. (2016). Prognostic factors affecting the clinical outcome of septic arthritis of the shoulder. Journal of Hand Surgery Asian-Pacific Volume, 21(3), 339–344. doi: 10.1142/S2424835516500314
Type
Article
ISSN
2424-8355
Source
https://www.worldscientific.com/doi/abs/10.1142/S2424835516500314
DOI
10.1142/S2424835516500314
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32708
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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