[Pediatric septic shoulder arthritis. Is routine arthrotomy still necessary?].

Duodecim; laaketieteellinen aikakauskirja

PubMedID: 21553507

Pääkkönen M, Peltola H, Kallio M, Kallio P. [Pediatric septic shoulder arthritis. Is routine arthrotomy still necessary?]. Duodecim. 2011;127(7):716-9.
BACKGROUND
Arthrotomy is recommended as a routine treatment for childhood septic arthritis of the shoulder, although scientific evidence is lacking. Suggested alternatives are arthroscopic lavage, serial aspirations and a mere diagnostic aspiration.

MATERIAL AND METHODS
9 patients with septic arthritis of the shoulder aged 3 months to 12 years underwent a diagnostic aspiration after which large dose antimicrobials were given qid (clindamycin or 1st generation cephalosporin).

RESULTS
One child underwent arthrotomy, otherwise all patients recovered normally. There were no sequelae.

CONCLUSIONS
Routine arthrotomy for all patients is of questionable value in the emergency treatment of septic shoulder arthritis in children.