Case Report

Septic arthritis of left shoulder in pregnancy following minor hand injury

Neelam Agrawal, Rhoughton Clemmey and Shamma Al-Inizi*

Published: 23 October, 2018 | Volume 1 - Issue 2 | Pages: 058-060

Septic arthritis of the shoulder joint is rare and might affect around 3% of the general population [1]. A delay in diagnosis may increase morbidity and lead to bone and cartilage destruction [2]. Septic arthritis is an unusual complication of pregnancy and can progress to permanent arthropathy and disability [3].

Septic arthropathy in pregnancy requires multidisciplinary team involvement for prompt recognition and treatment to improve both maternal and fetal outcomes. High index of suspicion is vital when clinical and laboratory findings suggest septic arthritis. There are multiple predisposing factors reported previously for septic arthritis of the shoulder in pregnancy such as medical conditions, pyelonephritis and trauma. We report a 37 year old lady who presented at 26 weeks gestation with acute left shoulder pain and high temperature following minor left palm trauma. She also had left mastectomy with axillary clearance ten years earlier. She underwent arthroscopic wash out of her left shoulder joint and was covered with antibiotics with rapid improvement and recovery. We reinforce the importance of early multidisciplinary involvement when septic arthritis of the shoulder in pregnancy is suspected especially in women who have had previous mastectomy and axillary clearance which could be a predisposing factor for such a rare and serious joint condition in pregnancy.

Read Full Article HTML DOI: 10.29328/journal.cjog.1001010 Cite this Article Read Full Article PDF


Septic arthritis; Pregnancy; Arthroscopy


  1. Leslie BM, Harries JM III, Driscoll D. Septic arthritis of shoulder in adults. J Bone Joint Surg. 1989; 71-A: 1516-1522. Ref.: https://goo.gl/ULWnfC
  2. Klinger HM1, Baums MH, Freche S, Nusselt T, Spahn G. et al. Septic arthritis of the shoulder joint: an analysis of management and outcome. Acta Orthop.Belg. 2010; 76: 598-603. Ref.: https://goo.gl/c9Ugdw
  3. Howell JD, Sheddon RJ. Septic arthritis of the hip complicating pregnancy. Postgrad Med J. 1995; 71: 316-317. Ref.: https://goo.gl/dVsYhh
  4. Raiser S., Davidson K, Walsh A, Egerman R. Septic arthritis of the shoulder complicating pregnancy. Case Reports in Obstet Gyecol. 2014; Article ID 738153. Ref.: https://goo.gl/rZBFcJ
  5. Jiang JJ, Piponov HI, Mass DP, Angeles JG, Shi LL. Septic arthritis of the shoulder: A comparison of treatment methods. J American Acad Orthop Surg. 2017; 25: e175-184. Ref.: https://goo.gl/Xyt8J8
  6. Jeon IH, Choi CH, Seo HS, Seo KJ, Ko SH, et al. Arthroscopic management of septic arthritits of shoulder joint. J Bone Joint Surg Am. 2006; 88: 1802-1806. Ref.: https://goo.gl/8qMztL
  7. Shah S, Banh E, Koury K, Bhatia G, Nandi R, et al. Pain management in pregnancy: multimodal approaches. 2015; 987483. Ref.: https://goo.gl/SUdFes
  8. De Noble PH., Gonzalez D. Septic arthritis of the shoulder following elective termination of pregnancy. J of Shoulder and Elbow Surg. 2009; 18: e5-e6. Ref.: https://goo.gl/4BZ4Rb
  9. Bacterial sepsis in pregnancy. Green-top Guideline. No.64a. Royal College of Obstetricians and Gynaecologists. 2012; : https://goo.gl/aNffhb


Figure 1

Figure 1

Similar Articles

Recently Viewed

Read More

Most Viewed

Read More

Help ?