Skip to main content
Top
Published in: Archives of Orthopaedic and Trauma Surgery 4/2017

01-04-2017 | Handsurgery

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

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

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 4/2017

Login to get access

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.
Literature
1.
go back to reference Mehta P, Schnall SB, Zalavras CG (2006) Septic arthritis of the shoulder, elbow, and wrist. Clin Orthop Relat Res 451:42–45CrossRefPubMed Mehta P, Schnall SB, Zalavras CG (2006) Septic arthritis of the shoulder, elbow, and wrist. Clin Orthop Relat Res 451:42–45CrossRefPubMed
2.
go back to reference 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):537–542CrossRefPubMed 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):537–542CrossRefPubMed
3.
go back to reference 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):943–953CrossRefPubMed 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):943–953CrossRefPubMed
4.
go back to reference Zahar A, Hannah P (2016) Addition of antibiotics to bone cement for septic prosthesis exchange. Oper Orthop Traumatol 28(2):138–144CrossRefPubMed Zahar A, Hannah P (2016) Addition of antibiotics to bone cement for septic prosthesis exchange. Oper Orthop Traumatol 28(2):138–144CrossRefPubMed
5.
6.
go back to reference Lüdemann CM, Schütze N, Rudert M (2015) Diagnosis of periprosthetic hip infections. Oper Orthop Traumatol 27(3):237–250CrossRefPubMed Lüdemann CM, Schütze N, Rudert M (2015) Diagnosis of periprosthetic hip infections. Oper Orthop Traumatol 27(3):237–250CrossRefPubMed
7.
go back to reference Meier R, Lanz U (2007) Septic arthritis of the wrist. Handchir Mikrochir Plast Chir 39(2):112–117CrossRefPubMed Meier R, Lanz U (2007) Septic arthritis of the wrist. Handchir Mikrochir Plast Chir 39(2):112–117CrossRefPubMed
8.
go back to reference 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):8–15CrossRefPubMed 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):8–15CrossRefPubMed
9.
go back to reference Rashkoff ES, Burkhalter WE, Mann RJ (1983) Septic arthritis of the wrist. J Bone Joint Surg Am 65(6):824–828CrossRefPubMed Rashkoff ES, Burkhalter WE, Mann RJ (1983) Septic arthritis of the wrist. J Bone Joint Surg Am 65(6):824–828CrossRefPubMed
10.
go back to reference Diefenbeck M, Abitzsch D, Hofmann GO (2012) Joint infections. Known facts and new trends. Unfallchirurg 115(6):489–495CrossRefPubMed Diefenbeck M, Abitzsch D, Hofmann GO (2012) Joint infections. Known facts and new trends. Unfallchirurg 115(6):489–495CrossRefPubMed
11.
go back to reference Del Gaudio T, Haerle M (2016) Arthroscopic partial resection of the ulnar head for ulnocarpal decompression. Oper Orthop Traumatol 28(4):263–269CrossRefPubMed Del Gaudio T, Haerle M (2016) Arthroscopic partial resection of the ulnar head for ulnocarpal decompression. Oper Orthop Traumatol 28(4):263–269CrossRefPubMed
12.
go back to reference Lutz M, Erhart S, Deml C, Klestil T (2016) Arthroscopically assisted osteosynthesis of intraarticular distal radius fractures. Oper Orthop Traumatol 28(4):279–290CrossRefPubMed Lutz M, Erhart S, Deml C, Klestil T (2016) Arthroscopically assisted osteosynthesis of intraarticular distal radius fractures. Oper Orthop Traumatol 28(4):279–290CrossRefPubMed
13.
go back to reference 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):47–63CrossRefPubMed 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):47–63CrossRefPubMed
14.
go back to reference 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 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
16.
go back to reference Shin EK, Jupiter JB (2007) Radioscapholunate arthrodesis for advanced degenerative radiocarpal osteoarthritis. Tech Hand Up Extrem Surg 11(3):180–183CrossRefPubMed Shin EK, Jupiter JB (2007) Radioscapholunate arthrodesis for advanced degenerative radiocarpal osteoarthritis. Tech Hand Up Extrem Surg 11(3):180–183CrossRefPubMed
18.
go back to reference 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):832–837CrossRefPubMed 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):832–837CrossRefPubMed
19.
go back to reference Inoue G, Tamura J (1992) Radiolunate and radioscapholunate arthrodesis. Arch Orthop Trauma Surg 111(6):333–335CrossRefPubMed Inoue G, Tamura J (1992) Radiolunate and radioscapholunate arthrodesis. Arch Orthop Trauma Surg 111(6):333–335CrossRefPubMed
20.
go back to reference 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):729–734CrossRefPubMed 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):729–734CrossRefPubMed
21.
go back to reference Nagy L, Büchler U (1997) Long-term results of radioscapholunate fusion following fractures of the distal radius. J Hand Surg Br 22(6):705–710CrossRefPubMed Nagy L, Büchler U (1997) Long-term results of radioscapholunate fusion following fractures of the distal radius. J Hand Surg Br 22(6):705–710CrossRefPubMed
22.
go back to reference 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):503–510CrossRefPubMedPubMedCentral 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):503–510CrossRefPubMedPubMedCentral
23.
go back to reference 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):706–711CrossRefPubMed 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):706–711CrossRefPubMed
Metadata
Title
Spontaneous radioscapholunate fusion after septic arthritis of the wrist: a case report
Authors
S. Quadlbauer
Ch. Pezzei
J. Jurkowitsch
T. Keuchel
T. Hausner
M. Leixnering
Publication date
01-04-2017
Publisher
Springer Berlin Heidelberg
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 4/2017
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-017-2659-1

Other articles of this Issue 4/2017

Archives of Orthopaedic and Trauma Surgery 4/2017 Go to the issue