Abstract
Septic arthritis of the shoulder joint in a neonate is very rare. Damage to the growth plate and ossification center of the proximal humerus may lead to disability of the shoulder joint. Therefore, early diagnosis and proper treatment are very important. We treated septic arthritis of the shoulder joint in a 9-day old newborn baby by arthroscopic irrigation and debridement using a 2.4 mm wrist arthroscope instrument. We could achieve a satisfactory result by inspecting the inside condition of the joint directly, removing granulation tissues and debris and washing out the joint by arthroscopy.
Figures and Tables
![]() | Figure 1T2 fat suppression coronal (A) and enhanced T1 fat suppression axial (B) MR images show pus pocket (arrow) with synovial hypertrophy and high signal change around muscle. |
References
1. Gafur OA, Copley LA, Hollmig ST, Browne RH, Thornton LA, Crawford SE. The impact of the current epidemiology of pediatric musculoskeletal infection on evaluation and treatment guidelines. J Pediatr Orthop. 2008. 28:777–785.


2. Lejman T, Strong M, Michno P, Hayman M. Septic arthritis of the shoulder during the first 18 months of life. J Pediatr Orthop. 1995. 15:172–175.


3. Forward DP, Hunter JB. Arthroscopic washout of the shoulder for septic arthritis in infants. A new technique. J Bone Joint Surg Br. 2002. 84:1173–1175.
5. Jackson MA, Nelson JD. Etiology and medical management of acute suppurative bone and joint infections in pediatric patients. J Pediatr Orthop. 1982. 2:313–323.


6. Samilson RL, Bersani FA, Watkins MB. Acute suppurative arthiritis in infants and children; the importance of early diagnosis and surgical drainage. Pediatrics. 1958. 21:798–804.
7. Kwon JW, Sohn KT, Shin SH, Park JH. Diagnosis of bone and joint infection in neonates. J Korean Orthop Assoc. 1999. 34:979–984.


8. Baitch A. Recent observation of acute suppurative arthiritis. Clin Orthop. 1962. 22:157–166.