ABSTRACT
Post-steroid septic arthritis can be treated with irrigation pump assisted arthroscopic synovectomy. The high-intra-articular fluid pressures can force the pyogenic fluid into a pre-existing Baker's cyst. The cyst can rupture and with the pre-existing steroid induced immune-suppression, the calf abscess will be hard to control. Therefore, thorough investigation with an ultrasound-guided aspiration followed by an early drainage of the collection is warranted and mandatory. Close monitoring for the development of a deep thrombosis of the popliteal vein is required.
Subject(s)
Arthritis, Infectious/surgery , Arthroscopy/adverse effects , Infusion Pumps/adverse effects , Knee Joint/surgery , Popliteal Cyst/etiology , Abscess/diagnostic imaging , Abscess/drug therapy , Abscess/microbiology , Anti-Bacterial Agents/therapeutic use , Arthroscopy/methods , Clindamycin/therapeutic use , Heparin, Low-Molecular-Weight/therapeutic use , Humans , Knee Injuries/diagnostic imaging , Knee Injuries/etiology , Knee Joint/diagnostic imaging , Knee Joint/microbiology , Leg/diagnostic imaging , Leg/microbiology , Male , Middle Aged , Popliteal Cyst/diagnostic imaging , Popliteal Vein/diagnostic imaging , Pressure/adverse effects , Rupture/diagnostic imaging , Rupture/etiology , Staphylococcal Infections/drug therapy , Staphylococcal Infections/microbiology , Staphylococcus aureus/isolation & purification , Synovectomy , Synovial Membrane/diagnostic imaging , Synovial Membrane/injuries , Synovial Membrane/microbiology , Ultrasonography , Venous Thrombosis/diagnostic imaging , Venous Thrombosis/drug therapy , Venous Thrombosis/etiologyABSTRACT
In a retrospective study, 12 patients with acute acromioclavicular dislocation Tossy stage III were reviewed after operative treatment with a clavicle hook plate. Mean follow-up time was 20 months. Clinical and radiographic results were reviewed. Clinical outcome was superior to the radiographic results. Some questions about this technique remain open.
