Acute suppurative arthritis

Overview of acute suppurative arthritis of pyogenic bacteria caused by acute joint inflammation. Hematogenous occurred in more children, more involvement of a single large limb joints, such as the hip, knee and elbow and so on. As for the gunshot injury, the injury location, and general knee, elbow higher incidence. Cause bacterial pathogenesis of invasive joint channel for blood-borne, traumatic or infected lesion neighboring spread. After invading bacteria joints, first synovitis, joint effusion, joint swelling and pain. Condition, serous fluid from serous to fibrin, the final was purulent. When the joint involvement, the disease gradually penetrated cartilage and bone and ultimately joint stiffness. Septic joint, joint capsule can break the skin and outflow, sinus, or spread to the adjacent bone caused suppurative osteomyelitis. Moreover, as a loose joint capsule and muscle cramps, can cause pathological dislocation, joint deformity was lost function. Clinical manifestations suppurative arthritis acute symptoms of poisoning performance, with a sudden shiver of high fever, severe systemic symptoms. Pediatric patients due to high fever can cause convulsion. A local pain, swelling, tenderness and obvious, such as acute inflammation. Synovial fluid increased, volatility. Patients are often placed in the knee-bending, bringing the capsular relaxation to reduce tension. Long-buckling occurred flexion contracture, joint action is a little pain, a protective muscle spasm. Diagnosis primarily on the basis of history, clinical signs and symptoms, a blood-borne suspected septic arthritis patients. should be blood and synovial fluid bacterial culture and drug susceptibility testing. X-ray examination in the early, and not only see joint swelling; Later have demineralized bone, because of cartilage and bone destruction and the narrow gap section, advanced bone joints can occur or malformation and tough fibers. new bone hyperplasia, but less sequestrum formation. Therapeutic principle of early diagnosis and timely treatment to preserve life and limb to maintain joint function. Systemic treatment of acute suppurative osteomyelitis with, such as gunshot wounds, which should be made early surgical treatment, prevention of joint infection. Local treatment including joint puncture, limb fixed and surgical drainage, and so on. If treatment in a timely manner, the result is better, especially in children, the restoration of joint function better; Conversely, if not promptly treated, inappropriate, joints can cause extensive damage, abnormal formation and led to the complete loss of joint function.