Three Cases of MRSA Septic Arthritis of Shoulder

DOI 10 References
  • Nakahara Shinichi
    Department of Orthopedics, Nagasaki University, Nagasaki, Japan
  • Eto Masao
    Department of Orthopedics, Nagasaki University, Nagasaki, Japan
  • Furukawa Keizo
    Department of Orthopedics, Nagasaki University, Nagasaki, Japan
  • Baba Hideo
    Department of Orthopedics, Nagasaki University, Nagasaki, Japan
  • Shindo Hiroyuki
    Department of Orthopedics, Nagasaki University, Nagasaki, Japan

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  • ＭＲＳＡ化膿性肩関節炎の３例

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Abstract

We report three cases of MRSA septic arthritis of the shoulder.<BR>Case 1 was a 61-year-old man who underwent osteosynthesis for his shoulder. Due to resulting pain and malunion, he was admitted to our hospital. We performed curettage several times on the MRSA developing as a result of joint aspiration. Osteomyelitis and dead cavity were found, for which we performed the latissimus dorsi flap.<BR>Case 2 was 68-year-old woman with dislocation of the shoulder which occurred after rotator cuff repair. We performed open reduction, but MRSA infection resulted. Despite repeated debridement and continuous irrigation, no clinical improvement was obtained. We removed the head of humerus and filled up the dead cavity with musculus pectoralis major.<BR>Case 3 was a 57-year-old man suffering pain after steroid injection of the shoulder. MRSA due to joint aspiration was found, and we performed arthroscopic debridement and continuous irrigation.<BR>It is useful to treat septic arthritis of the shoulder by arthroscopic debridement and continuous irrigation. In the case of osteomyelitis and dead cavity, it is necessary to perform musculocutaneous flap.

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