The Prognostic Value of a Novel Magnetic Resonance Imaging-Based Classification for Septic Arthritis of the Shoulder

医学 组内相关 磁共振成像 化脓性关节炎 滑膜炎 射线照相术 清创术(牙科) 放射科 关节积液 关节炎 关节镜检查 核医学 外科 内科学 临床心理学 心理测量学
作者
Sung-Min Rhee,Dong Ki Lee,Ji Seon Park,Yong Girl Rhee
出处
期刊:Journal of Bone and Joint Surgery, American Volume [Wolters Kluwer]
卷期号:102 (15): 1321-1328 被引量:10
标识
DOI:10.2106/jbjs.19.00951
摘要

Background: The purposes of the present study were (1) to create a magnetic resonance imaging (MRI)-based classification system for septic shoulder arthritis and to show the results of arthroscopic debridement based on the classification in eradicating the infection, and (2) to determine the distribution of the Gächter stages, which are determined on the basis of arthroscopic findings only, in each grade of the novel classification system. Methods: The present study included 31 patients who underwent arthroscopic debridement for the treatment of acute septic arthritis of the shoulder between January 2001 and December 2015. The mean duration of follow-up was 2.3 years. The included patients were assessed with use of a novel classification system based on preoperative radiographic and MRI findings. MRI findings were classified as Grade I (only synovitis or joint effusion), Grade II (marrow edema in the bare area of the humeral head), Grade III (cartilaginous erosion), Grade IV (osseous erosion), and Grade V (osseous erosion on MRI also observed on radiographs). No changes on radiographs were observed in Grades I to IV. The intraclass correlation coefficients (ICCs) for interobserver and intraobserver reliability were calculated. Results: The overall reinfection rate was 54.8% (17 of 31). Among patients with Grade-I, II, III, IV, and V involvement, the reinfection rates were 0 of 4, 1 of 6, 2 of 4, 9 of 12, and 5 of 5, respectively. A diverse distribution of Gächter stages were found in each grade of the novel classification system, with the exception of Grade V. The ICCs for interobserver and intraobserver reliability were 0.81 and 0.80 for the novel classification system. The ICCs for interobserver and intraobserver reliability were 0.75 and 0.78 for Gächter stages. Conclusions: This novel classification system for the grading of acute shoulder infections on the basis of radiographs and MRI allows preoperative grading of septic arthritis to be performed objectively. Patients who were classified as Grade III or higher in the novel classification system had higher reinfection rates than those who were classified as Grade I or II and required more aggressive treatment to eradicate the infection.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
Judy发布了新的文献求助10
1秒前
Owen应助丰富新儿采纳,获得10
1秒前
和谐的翎发布了新的文献求助10
1秒前
syr111完成签到,获得积分10
1秒前
深情安青应助NEX采纳,获得10
2秒前
阮111发布了新的文献求助30
3秒前
小二郎应助歪比巴布采纳,获得10
4秒前
李昕123发布了新的文献求助10
4秒前
小明无敌发布了新的文献求助10
4秒前
4秒前
包包琪完成签到 ,获得积分10
5秒前
orixero应助噜噜采纳,获得10
5秒前
zzzz应助热心市民小杨采纳,获得10
6秒前
乐乐应助派大星采纳,获得10
7秒前
8秒前
8秒前
9秒前
9秒前
郭德好发布了新的文献求助10
10秒前
11秒前
完美世界应助默默采纳,获得10
11秒前
初七完成签到,获得积分20
12秒前
12秒前
12秒前
bkagyin应助Judy采纳,获得10
13秒前
啡稀完成签到,获得积分10
13秒前
妍妍发布了新的文献求助10
13秒前
SciGPT应助lulululi采纳,获得10
14秒前
14秒前
duan发布了新的文献求助10
15秒前
小叙发布了新的文献求助10
15秒前
xyy悦发布了新的文献求助10
15秒前
上官若男应助聪明的归尘采纳,获得30
16秒前
17秒前
NNi发布了新的文献求助10
17秒前
噜噜完成签到,获得积分10
17秒前
18秒前
18秒前
20秒前
20秒前
高分求助中
(应助此贴封号)【重要!!请各用户(尤其是新用户)详细阅读】【科研通的精品贴汇总】 10000
Single Cell Analysis of the Tumor Microenvironment Landscape Across the Disease Spectrum of Multiple Myeloma 1000
2026年中国辛酸癸酸聚乙二醇甘油酯行业市场现状调查及投资机会研判报告 1000
2026年中国辛酸癸酸聚乙二醇甘油酯行业市场规模及竞争格局分析报告 1000
Fundamentals of Pharmaceutical and Biologics Regulations: A Global Perspective, Second Edition 700
The Cambridge History of China 英文版16册 600
作者名:Kristopher P. Plain,悉尼大学的,目前只能查到其四篇论文,想找到其博士论文 550
热门求助领域 (近24小时)
化学 材料科学 医学 生物 纳米技术 工程类 有机化学 化学工程 生物化学 计算机科学 内科学 物理 复合材料 催化作用 细胞生物学 无机化学 光电子学 物理化学 电极 基因
热门帖子
关注 科研通微信公众号,转发送积分 7329764
求助须知:如何正确求助?哪些是违规求助? 8944133
关于积分的说明 18972658
捐赠科研通 6985046
什么是DOI,文献DOI怎么找? 3216550
关于科研通互助平台的介绍 2383224
邀请新用户注册赠送积分活动 2196140