Published online Feb 18, 2023. doi: 10.5312/wjo.v14.i2.85
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
Processing time: 92 Days and 19.4 Hours
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.