Seltene Arthritiden

Septisches Ellenbogengelenk

Rare forms of arthritis

Septic elbow joint

Trauma und Berufskrankheit volume 21, pages231–235(2019)Cite this article

Zusammenfassung

Septische Arthritiden des Ellenbogens sind selten, treten aber in Risikogruppen wie beispielsweise bei Patienten mit rheumatoider Arthritis oder bei einliegenden Prothesen gehäuft auf. Die sichere Diagnose einer septischen Arthritis ist besonders herausfordernd, da kein diagnostisches Mittel isoliert eine hinreichend sichere Diagnose ermöglicht. Das Leitsymptom ist das schmerzhaft geschwollene Gelenk. Neben dem klinischen Erscheinungsbild und den üblichen Infektparametern hat die Anzahl und Art der Leukozyten im Gelenkpunktat die höchste Aussagekraft in der Diagnostik. Besteht der Verdacht auf eine septische Arthritis ist sofortiges Handeln notwendig, um einen desaströsen Verlauf abzuwenden.

Abstract

Septic arthritis of the elbow joint is a rare condition, frequently occuring in risk groups, such as patients with rheumatoid arthritis or implanted elbow prostheses. The diagnosis of a septic arthritis of the elbow joint is particularly challenging as there is no single diagnostic means that sufficiently enables a clear-cut diagnosis. Leading symptom is the painful swollen joint. Besides the clinical presentation and basic laboratory parameters, the number and type of leukocytes in the joint fluid have the greatest diagnostic value. In cases where a septic arthritis is suspected, immediate treatment is necessary to avoid a disastrous outcome.

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Affiliations

  1. Chirurgische Klinik, BG Universitätsklinikum Bergmannsheil Bochum, Bürkle-de-la-Camp Platz 1, 44789, Bochum, Deutschland

    Dr. med. V. Rausch & Univ.-Prof. Dr. med. T. A. Schildhauer

  2. Schwerpunkt für Unfall‑, Hand- und Ellenbogenchirurgie, Uniklinik Köln, Köln, Deutschland

    Dr. med. M. Hackl, Dr. med. T. Leschinger, Univ.-Prof. Dr. med. L. P. Müller & PD Dr. med. K. Wegmann

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  1. Dr. med. V. Rausch
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  2. Dr. med. M. Hackl
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  3. Dr. med. T. Leschinger
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  4. Univ.-Prof. Dr. med. T. A. Schildhauer
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  5. Univ.-Prof. Dr. med. L. P. Müller
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  6. PD Dr. med. K. Wegmann
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Correspondence to Dr. med. V. Rausch.

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Interessenkonflikt

V. Rausch, M. Hackl, T. Leschinger, T.A. Schildhauer, L.P. Müller und K. Wegmann geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. Für Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts, über die Patienten zu identifizieren sind, liegt von ihnen und/oder ihren gesetzlichen Vertretern eine schriftliche Einwilligung vor.

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Rausch, V., Hackl, M., Leschinger, T. et al. Seltene Arthritiden. Trauma Berufskrankh 21, 231–235 (2019). https://doi.org/10.1007/s10039-019-00447-y

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Schlüsselwörter

  • Septische Arthritis
  • Prothese
  • Leukozyten
  • Gelenkpunktat
  • Stadiengerechte Therapie

Keywords

  • Septic arthritis
  • Prosthesis
  • Leukocytes
  • Joint puncture fluid
  • Stage-related treatment