Primary septic arthritis of the acromio-clavicular joint: case report and review of literature |
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Authors: | Karthikeyan P. Iyengar Ravindra Gudena Shashank D. Chitgopkar Peter Ralte Peter Hughes Jayant B. Nadkarni William Y. C. Loh |
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Affiliation: | (1) Department of Trauma and Orthopaedics, Southport and Ormskirk Hospital NHS Trust, Town Lane, Kew, Southport, PR8 6PN, UK |
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Abstract: | Primary septic arthritis of the Acromio clavicular joint is an uncommon disorder and is rarely seen even in an immunocompromised individual. We report a case of primary septic arthritis of the acromio-clavicular (A-C) joint caused by Staphylococcus aureus without any predisposing factors. The patient was admitted with left shoulder pain, restricted movements and fever. Laboratory parameters showed high C-reactive protein, raised erythrocyte sedimentation rate and leucocytosis. Blood cultures were positive for Staphylococcus-aureus. Magnetic resonance imaging (MRI) using Gadolinium enhancement revealed marked effusion in the A-C joint. Aspiration from the A-C joint revealed a heavy growth of Staphylococcus-aureus. The patient was successfully treated with 8 weeks of appropriate antibiotics with complete resolution of infection and return to full function. |
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Keywords: | Acromio-clavicular joint Septic arthritis Infection Magnetic resonance imaging Staphylococcus aureus |
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