Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
권호 표지
DOI QR코드

DOI QR Code

Acute Osteomyelitis of the Humeral Head after Arthroscopic Rotator Cuff Repair

관절경적 회전근 개 봉합술 이후 발생한 상완골두의 급성 골수염

  • Shin, Sang-Jin (Department of Orthopaedic Surgery, Ewha Womans University School of Medicine) ;
  • Jeong, Byoung-Jin (Department of Orthopaedic Surgery, Ewha Womans University School of Medicine) ;
  • Kook, Seung Hwan (Department of Orthopaedic Surgery, Ewha Womans University School of Medicine) ;
  • Shin, Sung-Joon (Department of Orthopaedic Surgery, Ewha Womans University School of Medicine)
  • 신상진 (이화여자대학교 의학전문대학원 정형외과학교실) ;
  • 정병진 (이화여자대학교 의학전문대학원 정형외과학교실) ;
  • 국성환 (이화여자대학교 의학전문대학원 정형외과학교실) ;
  • 신승준 (이화여자대학교 의학전문대학원 정형외과학교실)
  • Received : 2013.04.24
  • Accepted : 2013.11.14
  • Published : 2013.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

A 57-year-old man who simultaneously underwent an operation for repair of rotator cuff and a revision operation for nonunion of a Pilon fracture presented with osteomyelitis of the humeral head on the $19^{th}$ day after surgery due to MRSA (Methicillin-resistant Staphylococcus aureus) infection. Infection was controlled after administration of appropriate intravenous antibiotic therapy and performance of several surgical procedures. However, devastating defects at the humeral head and the rotator cuff remained. No case of short term MRSA induced osteomyelitis has been reported.

회전근개 전층 파열과 원위 경골 관절면 골절 불유합을 동시에 시행한 57세 남자가 수술 19일만에 MRSA(Methicillin-resistant Staphylococcus aureus)에 의한 상완골두 급성 골수염이 발생하였다. 골수염은 3차례의 수술과 정맥 항생제 요법으로 치료되었으나 상완골두와 회전근개 결손은 남아있었다. MRSA에 의한 상완골두 골수염은 보고된 바가 없기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

  1. Brislin KJ, Field LD, Savoie FH. Complications after arthroscopic rotator cuff repair. Arthroscopy. 2007;23:124-8. https://doi.org/10.1016/j.arthro.2006.09.001
  2. Osti L, Papalia R, Del Buono A, Denaro V, Maffulli N. Understanding and preventing complications in repairing rotator cuff tears. Med Sport Sci. 2011; 57:178-83. https://doi.org/10.1159/000329812
  3. Settecerri JJ, Pitner MA, Rock MG, Hanssen AD, Cofield RH. Infection after rotator cuff repair. J Shoulder Elbow Surg. 1999;8:1-5. https://doi.org/10.1016/S1058-2746(99)90045-9
  4. Kwon YW, Kalainov DM, Rose HA, Bisson LJ, Weiland AJ. Management of early deep infection after rotator cuff repair surgery. J Shoulder Elbow Surg. 14:1-5, 2005. https://doi.org/10.1016/j.jse.2004.04.010
  5. Frazee BW, Fee C, Lambert L. How common is MRSA in adult septic arthritis? Ann Emerg Med. 2009;54:695-700. https://doi.org/10.1016/j.annemergmed.2009.06.511
  6. Athwal GS, Sperling JW, Rispoli DM, Cofield RH. Deep infection after rotator cuff repair. J Shoulder Elbow Surg. 2007;16:306-11. https://doi.org/10.1016/j.jse.2006.05.013
  7. Zachary C, Landman BA, C Benjamin M. Acute multifocal osteomyelitis following acupuncture: A case report. J Bone Joint Surg Case Connector. 2012;2:e1-4.
  8. Anderson SL, Buchko JZ, Taillon MR, Ernst MA. Chondrolysis of the glenohumeral joint after infusion of bupivacaine through an intra-articular pain pump catheter: a report of 18 cases. Arthroscopy. 2010;26: 451-61. https://doi.org/10.1016/j.arthro.2010.01.022
  9. Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for Prevention of Surgical Site Infection, 1999. Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee. Am J Infect Control. 1999; 27:97-132. https://doi.org/10.1016/S0196-6553(99)70088-X
  10. Kurokouchi K, Takahashi S, Yamada T, Yamamoto H. Methicillin-resistant Staphylococcus aureusinduced septic arthritis after anterior cruciate ligament reconstruction. Arthroscopy. 2008;24:615-7. https://doi.org/10.1016/j.arthro.2008.01.012

Cited by

  1. Acute Osteomyelitis in the Proximal Humerus Caused by Pyogenic Glenohumeral Arthritis in an Elderly Patient - A Case Report vol.17, pp.4, 2014, https://doi.org/10.5397/cise.2014.17.4.197