Septic Arthritis of the Shoulder

Definition:
Purulent invasion of the shoulder joint by an infectious agent which produces arthritis. Septic arthritis is considered a medical emergency. If untreated, it may destroy the joint in a period of days. The infection may also spread to other parts of the body.
Symptoms:
  • Usually one joint is infected
  • Significant shoulder pain, especially with movement
  • Swelling in the shoulder
  • Redness in the shoulder
  • Warmth on the shoulder
Causes:
  • Bacterial injection most common- Bacteria are carried by the bloodstream from an infectious focus elsewhere, introduced by a skin lesion that penetrates the joint, or by extension from adjacent tissue
  • Viral
  • Mycobacterial
  • Fungal
Treatment:
  • Seek medical advise
  • Intravenous antibiotics
  • Analgesia
  • Washout/aspiration of the joint to dryness