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Septic Arthritis
Lauren M. Ladd, MDB. J. Manaster, MD, PhD, FACR
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KEY FACTS

  • Imaging

    • Clinical Issues

      TERMINOLOGY

      • Synonyms

        • Infectious arthritis, pyogenic arthritis, bacterial arthritis (rarely used)

      IMAGING

      • General Features

        • Radiographic Findings

          • CT Findings

            • MR Findings

              • Ultrasonographic Findings

                • Nuclear Medicine Findings

                  • Image-Guided Aspiration

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      Selected References

                                      1. Chin TY et al: Imaging update on musculoskeletal infections. J Clin Orthop Trauma. 22:101600, 2021
                                      2. Altmayer S et al: Imaging musculoskeletal soft tissue infections. Semin Ultrasound CT MR. 41(1):85-98, 2020
                                      3. Chan BY et al: Septic arthritis: an evidence-based review of diagnosis and image-guided aspiration. AJR Am J Roentgenol. 215(3):568-81, 2020
                                      4. Colvin OC et al: Leukocyte esterase analysis in the diagnosis of joint infection: can we make a diagnosis using a simple urine dipstick? Skeletal Radiol. 44(5):673-7, 2015
                                      5. Bierry G et al: MRI findings of treated bacterial septic arthritis. Skeletal Radiol. 41(12):1509-16, 2012
                                      6. Lefevre S et al: Septic arthritis: monitoring with USPIO-enhanced macrophage MR imaging. Radiology. 258(3):722-8, 2011
                                      7. Lin HM et al: Emergency joint aspiration: a guide for radiologists on call. Radiographics. 29(4):1139-58, 2009
                                      8. Ranson M: Imaging of pediatric musculoskeletal infection. Semin Musculoskelet Radiol. 13(3):277-99, 2009
                                      9. Restrepo CS et al: Imaging appearances of the sternum and sternoclavicular joints. Radiographics. 29(3):839-59, 2009
                                      10. Mathews CJ et al: Management of septic arthritis: a systematic review. Ann Rheum Dis. 66(4):440-5, 2007
                                      11. Karchevsky M et al: MRI findings of septic arthritis and associated osteomyelitis in adults. AJR Am J Roentgenol. 182(1):119-22, 2004
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Imaging

                                        • Clinical Issues

                                          TERMINOLOGY

                                          • Synonyms

                                            • Infectious arthritis, pyogenic arthritis, bacterial arthritis (rarely used)

                                          IMAGING

                                          • General Features

                                            • Radiographic Findings

                                              • CT Findings

                                                • MR Findings

                                                  • Ultrasonographic Findings

                                                    • Nuclear Medicine Findings

                                                      • Image-Guided Aspiration

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              • Gross Pathologic & Surgical Features

                                                                CLINICAL ISSUES

                                                                • Presentation

                                                                  • Demographics

                                                                    • Natural History & Prognosis

                                                                      • Treatment

                                                                        DIAGNOSTIC CHECKLIST

                                                                        • Consider

                                                                          Selected References

                                                                          1. Chin TY et al: Imaging update on musculoskeletal infections. J Clin Orthop Trauma. 22:101600, 2021
                                                                          2. Altmayer S et al: Imaging musculoskeletal soft tissue infections. Semin Ultrasound CT MR. 41(1):85-98, 2020
                                                                          3. Chan BY et al: Septic arthritis: an evidence-based review of diagnosis and image-guided aspiration. AJR Am J Roentgenol. 215(3):568-81, 2020
                                                                          4. Colvin OC et al: Leukocyte esterase analysis in the diagnosis of joint infection: can we make a diagnosis using a simple urine dipstick? Skeletal Radiol. 44(5):673-7, 2015
                                                                          5. Bierry G et al: MRI findings of treated bacterial septic arthritis. Skeletal Radiol. 41(12):1509-16, 2012
                                                                          6. Lefevre S et al: Septic arthritis: monitoring with USPIO-enhanced macrophage MR imaging. Radiology. 258(3):722-8, 2011
                                                                          7. Lin HM et al: Emergency joint aspiration: a guide for radiologists on call. Radiographics. 29(4):1139-58, 2009
                                                                          8. Ranson M: Imaging of pediatric musculoskeletal infection. Semin Musculoskelet Radiol. 13(3):277-99, 2009
                                                                          9. Restrepo CS et al: Imaging appearances of the sternum and sternoclavicular joints. Radiographics. 29(3):839-59, 2009
                                                                          10. Mathews CJ et al: Management of septic arthritis: a systematic review. Ann Rheum Dis. 66(4):440-5, 2007
                                                                          11. Karchevsky M et al: MRI findings of septic arthritis and associated osteomyelitis in adults. AJR Am J Roentgenol. 182(1):119-22, 2004