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Spontaneous radioscapholunate fusion after septic arthritis of the wrist: a case report

  • Handsurgery
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Abstract

Bacterial septic arthritis rarely occurs in the upper extremities. Yet, early diagnosis and treatment is important, as a delay in diagnosis results in pain, impaired hand function, and degenerative joint disease. Radioscapholunate (RSL) arthrodesis is a well-established procedure for treating inflammatory arthritis and osteoarthritis (primary or posttraumatic), primarily to achieve pain relief. The wrist deformity correction offers an alternative option to total wrist arthrodesis. Indications for a RSL arthrodesis are osteoarthritis of the radiolunate and radioscaphoid joint with a concomitant intact midcarpal joint. We present a case study of spontaneous RSL fusion post wrist infection caused by a dog bite.

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References

  1. Mehta P, Schnall SB, Zalavras CG (2006) Septic arthritis of the shoulder, elbow, and wrist. Clin Orthop Relat Res 451:42–45

    Article  PubMed  Google Scholar 

  2. Al-Nammari SS, Bobak P, Venkatesh R (2007) Methicillin resistant Staphylococcus aureus versus methicillin sensitive Staphylococcus aureus adult haematogenous septic arthritis. Arch Orthop Trauma Surg 127(7):537–542

    Article  PubMed  Google Scholar 

  3. Unglaub F, Langer MF, Unglaub JM, Hohendorff B, Müller LP, Hahn P, Löw S, Spies CK (2016) Joint infections of the hand. Unfallchirurg 119(11):943–953

    Article  CAS  PubMed  Google Scholar 

  4. Zahar A, Hannah P (2016) Addition of antibiotics to bone cement for septic prosthesis exchange. Oper Orthop Traumatol 28(2):138–144

    Article  CAS  PubMed  Google Scholar 

  5. Birman MV, Strauch RJ (2011) Management of the septic wrist. J Hand Surg Am 36(2):324–326

    Article  PubMed  Google Scholar 

  6. Lüdemann CM, Schütze N, Rudert M (2015) Diagnosis of periprosthetic hip infections. Oper Orthop Traumatol 27(3):237–250

    Article  PubMed  Google Scholar 

  7. Meier R, Lanz U (2007) Septic arthritis of the wrist. Handchir Mikrochir Plast Chir 39(2):112–117

    Article  CAS  PubMed  Google Scholar 

  8. Garcia-Elias M, Lluch A, Ferreres A, Papini-Zorli I, Rahimtoola ZO (2005) Treatment of radiocarpal degenerative osteoarthritis by radioscapholunate arthrodesis and distal scaphoidectomy. J Hand Surg Am 30(1):8–15

    Article  PubMed  Google Scholar 

  9. Rashkoff ES, Burkhalter WE, Mann RJ (1983) Septic arthritis of the wrist. J Bone Joint Surg Am 65(6):824–828

    Article  CAS  PubMed  Google Scholar 

  10. Diefenbeck M, Abitzsch D, Hofmann GO (2012) Joint infections. Known facts and new trends. Unfallchirurg 115(6):489–495

    Article  CAS  PubMed  Google Scholar 

  11. Del Gaudio T, Haerle M (2016) Arthroscopic partial resection of the ulnar head for ulnocarpal decompression. Oper Orthop Traumatol 28(4):263–269

    Article  CAS  PubMed  Google Scholar 

  12. Lutz M, Erhart S, Deml C, Klestil T (2016) Arthroscopically assisted osteosynthesis of intraarticular distal radius fractures. Oper Orthop Traumatol 28(4):279–290

    Article  CAS  PubMed  Google Scholar 

  13. Pillukat T, Fuhrmann R, Windolf J, van Schoonhoven J (2016) The volar locking plate for extension fractures of the distal radius. Oper Orthop Traumatol 28(1):47–63

    Article  CAS  PubMed  Google Scholar 

  14. Quadlbauer S, Pezzei Ch, Jurkowitsch J, Kolmayr B, Keuchel T, Simon D, Hausner T, Leixnering M (2016) Early rehabilitation of distal radius fractures stabilized by volar locking plate: a prospective randomized pilot study. J Wrist Surg. doi: 10.1055/s-0036-1587317. Epub 2016 Aug 5

    Google Scholar 

  15. Murray PM (2005) Radioscapholunate arthrodesis. Hand Clin 21(4):561–566

    Article  PubMed  Google Scholar 

  16. Shin EK, Jupiter JB (2007) Radioscapholunate arthrodesis for advanced degenerative radiocarpal osteoarthritis. Tech Hand Up Extrem Surg 11(3):180–183

    Article  PubMed  Google Scholar 

  17. McGuire DT, Bain GI (2012) Radioscapholunate fusions. J Wrist Surg 1(2):135–140

    Article  PubMed  PubMed Central  Google Scholar 

  18. Pervaiz K, Bowers WH, Isaacs JE, Owen JR, Wayne JS (2009) Range of motion effects of distal pole scaphoid excision and triquetral excision after radioscapholunate fusion: a cadaver study. J Hand Surg Am 34(5):832–837

    Article  PubMed  Google Scholar 

  19. Inoue G, Tamura J (1992) Radiolunate and radioscapholunate arthrodesis. Arch Orthop Trauma Surg 111(6):333–335

    Article  CAS  PubMed  Google Scholar 

  20. Trieb K, Machacek P, Hofstaetter SG, Panotopoulos J, Wanivenhaus A (2013) Radio-lunate arthrodesis in rheumatoid arthritis: outcome and techniques. Arch Orthop Trauma Surg 133(5):729–734

    Article  CAS  PubMed  Google Scholar 

  21. Nagy L, Büchler U (1997) Long-term results of radioscapholunate fusion following fractures of the distal radius. J Hand Surg Br 22(6):705–710

    Article  CAS  PubMed  Google Scholar 

  22. Calfee RP, Leventhal EL, Wilkerson J, Moore DC, Akelman E, Crisco JJ (2008) Simulated radioscapholunate fusion alters carpal kinematics while preserving dart-thrower’s motion. J Hand Surg Am 33(4):503–510

    Article  PubMed  PubMed Central  Google Scholar 

  23. Holleran AM, Quigley RJ, Rafijah GH, Lee TQ (2013) Radioscapholunate arthrodesis with excision of the distal scaphoid: comparison of contact characteristics to the intact wrist. J Hand Surg Am 38(4):706–711

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Traumatology, AUVA Trauma Hospital Lorenz Böhler - European Hand Trauma Center, Donaueschingenstrasse 13, 1200, Vienna, Austria

    S. Quadlbauer, Ch. Pezzei, J. Jurkowitsch, T. Keuchel, T. Hausner & M. Leixnering

  2. Ludwig Boltzmann Institute for Experimental und Clinical Traumatology, AUVA Research Center, 1200, Vienna, Austria

    S. Quadlbauer & T. Hausner

  3. Austrian Cluster for Tissue Regeneration, 1200, Vienna, Austria

    S. Quadlbauer & T. Hausner

Authors
  1. S. Quadlbauer
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  2. Ch. Pezzei
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  3. J. Jurkowitsch
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  4. T. Keuchel
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  5. T. Hausner
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  6. M. Leixnering
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Correspondence to S. Quadlbauer.

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The authors, their immediate families, and any research foundations with which they are affiliated have not received any financial payments or other benefits from any commercial entity related to the subject of this article.

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Quadlbauer, S., Pezzei, C., Jurkowitsch, J. et al. Spontaneous radioscapholunate fusion after septic arthritis of the wrist: a case report. Arch Orthop Trauma Surg 137, 579–584 (2017). https://doi.org/10.1007/s00402-017-2659-1

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  • DOI: https://doi.org/10.1007/s00402-017-2659-1

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