Lipatov KV, Asatryan A, Melkonyan G, Kazantcev AD, Solov’eva EI, Gorbacheva IV, Vorotyntsev AS, Emelyanov AY. New classification for septic arthritis of the hand. World J Orthop 2023; 14(2): 85-89 [PMID: 36844377 DOI: 10.5312/wjo.v14.i2.85]
Corresponding Author of This Article
Konstantin V Lipatov, DSc, MD, Doctor, Full Professor, Professor, Surgeon, Department of General Surgery, Institute of Clinical Medicine Named After N.V. Sklifosovsky, Sechenov First Moscow State Medical University (Sechenov University), Rossolimo Street 11-2, Moscow 119021, Russia. lipatov_k_v@staff.sechenov.ru
Research Domain of This Article
Surgery
Article-Type of This Article
Letter to the Editor
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Feb 18, 2023; 14(2): 85-89 Published online Feb 18, 2023. doi: 10.5312/wjo.v14.i2.85
New classification for septic arthritis of the hand
Konstantin V Lipatov, Arthur Asatryan, George Melkonyan, Aleksandr D Kazantcev, Ekaterina I Solov’eva, Irina V Gorbacheva, Alexander S Vorotyntsev, Andrey Y Emelyanov
Konstantin V Lipatov, Aleksandr D Kazantcev, Department of General Surgery, Institute of Clinical Medicine Named After N.V. Sklifosovsky, Sechenov First Moscow State Medical University (Sechenov University), Moscow 119021, Russia
Arthur Asatryan, Department of Wound and Wound Infection Surgery, State Budgetary Institution “City Clinical Hospital named after S.S. Yudin of Moscow Healthcare Department”, Moscow 115446, Russia
George Melkonyan, Department of General Surgery, Hospital for War Veterans №3, Moscow 129336, Russia
Ekaterina I Solov’eva, Irina V Gorbacheva, Alexander S Vorotyntsev, Andrey Y Emelyanov, Department of General Surgery, I.M. Sechenov First Moscow State Medical University, Moscow 119048, Russia
Author contributions: Lipatov KV designed the research; Asatryan A and Melkonyan G performed the research; Kazantcev AD analyzed the data; Solov’eva EI and Gorbacheva IV wrote the letter; Vorotyntsev AS and Emelyanov AY revised the letter.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Konstantin V Lipatov, DSc, MD, Doctor, Full Professor, Professor, Surgeon, Department of General Surgery, Institute of Clinical Medicine Named After N.V. Sklifosovsky, Sechenov First Moscow State Medical University (Sechenov University), Rossolimo Street 11-2, Moscow 119021, Russia. lipatov_k_v@staff.sechenov.ru
Received: November 16, 2022 Peer-review started: November 16, 2022 First decision: November 25, 2022 Revised: November 29, 2022 Accepted: February 7, 2023 Article in press: February 7, 2023 Published online: February 18, 2023
Abstract
The severity of septic arthritis of the hand and the prospects for restoration of joint function are determined by a complex of factors. Among them, the leading role belongs to local changes in tissue structures. This includes the destruction of articular cartilage and bone tissue with the development of osteomyelitis, the involvement of paraarticular soft tissues in the purulent process, and the destruction of the flexor/extensor tendons of the fingers. The currently missing specialized classification of septic arthritis could help in systematizing the diseases, determining treatment tactics, and predicting the results of treatment. The classification of septic arthritis of the hand proposed for discussion is based on the following principle: Joint−Wound−Tendon (JxWxTx); Jx characterizes damage to the osteochondral structures of the joint, Wx is the presence of paraarticular purulent wounds or fistulas, and Tx is destruction of the flexor/extensor tendons of the finger. The classification of the diagnosis makes it possible to assess the nature and severity of damage to the structures of the joint and may also be useful when comparing the results of treatment of septic arthritis of the hand.
Core Tip: The absence to date of a specialized classification of septic arthritis of the hand determines the relevance of its development. The proposed classification is based on the principle JOINT-WOUND-TENDON and reflects in aggregate the lesion of the osteo-cartilaginous structures of the joint, paraarticular soft tissues, and tendons of the flexor/extensor of the finger.
