Abstract
A case: An one-year-old girl had caught a cold, was taking medicine from one month ago, and had febricula intermittently. One day, her mother noticed that her daughter did not move her left upper limb voluntarily, so she took her to our hospital. The doctor on duty diagnosed her with pulled elbow. The next day, she was admitted to our hospital for treatment for pneumonia. Her left upper limb had not yet moved voluntarily after hospitalization, so two days later, she was examined by our orthopaedic surgeon. Her left shoulder had rubor heat and swelling. Articular fluid accumulated in her glenohumeral joint on MR imaging. We diagnosed her with septic arthritis of the shoulder joint by clinical findings. We performed operation immediately such as articular dissection and drainage. We started giving PAPM/BP by drip. Post operation, her inflammation finding had improved. She left our hospital fifteen days later after operation. We prescribed CCL internal medication for three months. Irregular line of head of humerus on X-ray appeared one month postoperativery. But motion of left shoulder was good, and MR imaging of her left shoulder joint showed no infection as of seven months postoperativery.
