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R Zouari - One of the best experts on this subject based on the ideXlab platform.

  • sat0332 non tuberculous septic arthritis a study of 51 cases
    Annals of the Rheumatic Diseases, 2013
    Co-Authors: I Cherif, H Sahli, R Tekaya, L Dridi, O Saidane, Ines Mahmoud, L Abdelmoula, R Zouari
    Abstract:

    Background Septic arthritis may cause damage and inflammation in short period of time and may also be a serious cause of mortality. Only early diagnosis and treatment can allow good prognosis. Objectives Our objective is to describe the cases of non tuberculosis septic arthritis, which were reported and confirmed in our hospital. Methods This a retrospective study which included medical records of patients treated for non tuberculosis septic arthritis during the ten past years [2002-2012]. Epidemiologic, clinical, biologic and therapeutic data were recorded and analysed. Results Fifty one cases of non tuberculosis septic arthritis were treated during the ten past years. The mean age was 52,8 years (range 22 to 90 years) with a female to male ration 1.1. The predisposing conditions were present in 50% of cases: diabetes mellitus (8 cases), renal failure (8 cases), rheumatoid arthritis (2 cases), psoriatic arthritis (1 case), osteoarthritis (3 cases) and hepatic cirrhosis (2 cases), high-dose corticosteroid intake (1 case) and arthroscopy (1 case). The median duration from the onset of symptoms to the diagnosis of septic arthritis was 20 days (1 range to 75days). Fever was observed in 97% of cases an average value of 38,3(37,9-40,5). Anorexia and weight loss were present in 7 cases. Mono-arthritis were noted in 43 cases (84%), localized in knees (24 cases), hips (6 cases), elbow (5 cases), Shoulders (3 cases), ankles (2 cases), Sternocostal Joint (1 case), manubriosternal Joint (1 case) and sternoclavicular Joint (1 case). Oligo-arthritis were noted in 4 cases and polyarthritis in 6 cases. Biological inflammatory tests were rised in all cases. Hyperleucocytosis was noted in 43% of cases and leucopenia in 3 cases. Radiographies schowed soft tissueabnormalities (8 cases), Joint narrowing (17 cases) and Joint destructions (7 cases). The germ has been identified in 52% (26 cases) of the cases and recovered in the Joint in 17.6% of cases. Staphylococcus was the most common (10 cases) . The other germs were: Streptococcus (4 cases), Pseudomonas (2 cases), Gonococcus (1 case), E.Coli (6 cases), Proteus mirabilis (2 cases) and a combination of two microorganisms in one case. The treatment associated parental use of two antibiotics for 6 weeks except for for gonococcal arthritis. Joint washing was indicated in all cases. Surgical treatment was performed in 5 cases. We noted a good outcome in most cases with only a flessum in 4 cases. Nevertheless, 3 patients with diabetes died. Conclusions Septic arthritis should be evocated in front of any arthritis, especially if it is acute, with fever and in presence of predisposing factors. The predominant germ is the staphylococcus and the treatment must be urgent to avoid complications. Disclosure of Interest None Declared

Daisuke Hamada - One of the best experts on this subject based on the ideXlab platform.

  • Case Report Nonunion of the First Sternocostal Synchondrosis Accompanied by Sternoclavicular Joint Synovitis
    2016
    Co-Authors: Makoto Takeuchi, Tomohiro Goto, Kiminori Yukata, Naoto Suzue, Daisuke Hamada
    Abstract:

    Copyright © 2014 Makoto Takeuchi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Injury to the Sternocostal synchondrosis of the first rib is quite rare.We report one such case in a 50-year-oldmanwith nonunion of the first Sternocostal synchondrosis accompanied by synovitis of the sternoclavicular Joint. He first underwent arthroscopic surgery of the left sternoclavicular Joint. Postoperatively, the patient’s symptoms decreased by half, but another pain and crepitus at the inferior lateral portion of the sternoclavicular Joint developed. Since MRI and functional CT reexaminations revealed nonunion of the first Sternocostal synchondrosis, resection arthroplasty of the first Sternocostal Joint was performed.This resulted in immediate resolution of the symptoms. At 2-year follow-up, his symptoms disappeared entirely with no limited range ofmotion of the shoulder. 1

  • Nonunion of the First Sternocostal Synchondrosis Accompanied by Sternoclavicular Joint Synovitis
    Hindawi Limited, 2013
    Co-Authors: Makoto Takeuchi, Tomohiro Goto, Kiminori Yukata, Naoto Suzue, Daisuke Hamada, Toshihiko Nishisho, Ichiro Tonogai, Tetsuya Matsuura, Koichi Sairyo
    Abstract:

    Injury to the Sternocostal synchondrosis of the first rib is quite rare. We report one such case in a 50-year-old man with nonunion of the first Sternocostal synchondrosis accompanied by synovitis of the sternoclavicular Joint. He first underwent arthroscopic surgery of the left sternoclavicular Joint. Postoperatively, the patient’s symptoms decreased by half, but another pain and crepitus at the inferior lateral portion of the sternoclavicular Joint developed. Since MRI and functional CT reexaminations revealed nonunion of the first Sternocostal synchondrosis, resection arthroplasty of the first Sternocostal Joint was performed. This resulted in immediate resolution of the symptoms. At 2-year follow-up, his symptoms disappeared entirely with no limited range of motion of the shoulder.

Makoto Takeuchi - One of the best experts on this subject based on the ideXlab platform.

  • Case Report Nonunion of the First Sternocostal Synchondrosis Accompanied by Sternoclavicular Joint Synovitis
    2016
    Co-Authors: Makoto Takeuchi, Tomohiro Goto, Kiminori Yukata, Naoto Suzue, Daisuke Hamada
    Abstract:

    Copyright © 2014 Makoto Takeuchi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Injury to the Sternocostal synchondrosis of the first rib is quite rare.We report one such case in a 50-year-oldmanwith nonunion of the first Sternocostal synchondrosis accompanied by synovitis of the sternoclavicular Joint. He first underwent arthroscopic surgery of the left sternoclavicular Joint. Postoperatively, the patient’s symptoms decreased by half, but another pain and crepitus at the inferior lateral portion of the sternoclavicular Joint developed. Since MRI and functional CT reexaminations revealed nonunion of the first Sternocostal synchondrosis, resection arthroplasty of the first Sternocostal Joint was performed.This resulted in immediate resolution of the symptoms. At 2-year follow-up, his symptoms disappeared entirely with no limited range ofmotion of the shoulder. 1

  • Nonunion of the First Sternocostal Synchondrosis Accompanied by Sternoclavicular Joint Synovitis
    Hindawi Limited, 2013
    Co-Authors: Makoto Takeuchi, Tomohiro Goto, Kiminori Yukata, Naoto Suzue, Daisuke Hamada, Toshihiko Nishisho, Ichiro Tonogai, Tetsuya Matsuura, Koichi Sairyo
    Abstract:

    Injury to the Sternocostal synchondrosis of the first rib is quite rare. We report one such case in a 50-year-old man with nonunion of the first Sternocostal synchondrosis accompanied by synovitis of the sternoclavicular Joint. He first underwent arthroscopic surgery of the left sternoclavicular Joint. Postoperatively, the patient’s symptoms decreased by half, but another pain and crepitus at the inferior lateral portion of the sternoclavicular Joint developed. Since MRI and functional CT reexaminations revealed nonunion of the first Sternocostal synchondrosis, resection arthroplasty of the first Sternocostal Joint was performed. This resulted in immediate resolution of the symptoms. At 2-year follow-up, his symptoms disappeared entirely with no limited range of motion of the shoulder.

I Cherif - One of the best experts on this subject based on the ideXlab platform.

  • sat0332 non tuberculous septic arthritis a study of 51 cases
    Annals of the Rheumatic Diseases, 2013
    Co-Authors: I Cherif, H Sahli, R Tekaya, L Dridi, O Saidane, Ines Mahmoud, L Abdelmoula, R Zouari
    Abstract:

    Background Septic arthritis may cause damage and inflammation in short period of time and may also be a serious cause of mortality. Only early diagnosis and treatment can allow good prognosis. Objectives Our objective is to describe the cases of non tuberculosis septic arthritis, which were reported and confirmed in our hospital. Methods This a retrospective study which included medical records of patients treated for non tuberculosis septic arthritis during the ten past years [2002-2012]. Epidemiologic, clinical, biologic and therapeutic data were recorded and analysed. Results Fifty one cases of non tuberculosis septic arthritis were treated during the ten past years. The mean age was 52,8 years (range 22 to 90 years) with a female to male ration 1.1. The predisposing conditions were present in 50% of cases: diabetes mellitus (8 cases), renal failure (8 cases), rheumatoid arthritis (2 cases), psoriatic arthritis (1 case), osteoarthritis (3 cases) and hepatic cirrhosis (2 cases), high-dose corticosteroid intake (1 case) and arthroscopy (1 case). The median duration from the onset of symptoms to the diagnosis of septic arthritis was 20 days (1 range to 75days). Fever was observed in 97% of cases an average value of 38,3(37,9-40,5). Anorexia and weight loss were present in 7 cases. Mono-arthritis were noted in 43 cases (84%), localized in knees (24 cases), hips (6 cases), elbow (5 cases), Shoulders (3 cases), ankles (2 cases), Sternocostal Joint (1 case), manubriosternal Joint (1 case) and sternoclavicular Joint (1 case). Oligo-arthritis were noted in 4 cases and polyarthritis in 6 cases. Biological inflammatory tests were rised in all cases. Hyperleucocytosis was noted in 43% of cases and leucopenia in 3 cases. Radiographies schowed soft tissueabnormalities (8 cases), Joint narrowing (17 cases) and Joint destructions (7 cases). The germ has been identified in 52% (26 cases) of the cases and recovered in the Joint in 17.6% of cases. Staphylococcus was the most common (10 cases) . The other germs were: Streptococcus (4 cases), Pseudomonas (2 cases), Gonococcus (1 case), E.Coli (6 cases), Proteus mirabilis (2 cases) and a combination of two microorganisms in one case. The treatment associated parental use of two antibiotics for 6 weeks except for for gonococcal arthritis. Joint washing was indicated in all cases. Surgical treatment was performed in 5 cases. We noted a good outcome in most cases with only a flessum in 4 cases. Nevertheless, 3 patients with diabetes died. Conclusions Septic arthritis should be evocated in front of any arthritis, especially if it is acute, with fever and in presence of predisposing factors. The predominant germ is the staphylococcus and the treatment must be urgent to avoid complications. Disclosure of Interest None Declared

Koichi Sairyo - One of the best experts on this subject based on the ideXlab platform.

  • Nonunion of the First Sternocostal Synchondrosis Accompanied by Sternoclavicular Joint Synovitis
    Hindawi Limited, 2013
    Co-Authors: Makoto Takeuchi, Tomohiro Goto, Kiminori Yukata, Naoto Suzue, Daisuke Hamada, Toshihiko Nishisho, Ichiro Tonogai, Tetsuya Matsuura, Koichi Sairyo
    Abstract:

    Injury to the Sternocostal synchondrosis of the first rib is quite rare. We report one such case in a 50-year-old man with nonunion of the first Sternocostal synchondrosis accompanied by synovitis of the sternoclavicular Joint. He first underwent arthroscopic surgery of the left sternoclavicular Joint. Postoperatively, the patient’s symptoms decreased by half, but another pain and crepitus at the inferior lateral portion of the sternoclavicular Joint developed. Since MRI and functional CT reexaminations revealed nonunion of the first Sternocostal synchondrosis, resection arthroplasty of the first Sternocostal Joint was performed. This resulted in immediate resolution of the symptoms. At 2-year follow-up, his symptoms disappeared entirely with no limited range of motion of the shoulder.