Carpenter, Christopher R, Jeremiah D Schuur, Worth W Everett, and Jesse M Pines. “Evidence-based diagnostics: adult septic arthritis..” Academic emergency medicine : official journal of the Society for Academic Emergency Medicine 18, no. 8 (August 2011): 781–796. PMID 21843213
This is a big paper and I confess I skimmed but it says a few things worth commenting on. It’s a huge meta-analysis looking at what may or may not help us in septic arthritis.
It tells us very little apart from cellulitis over a prosthesis is gonna increase the likelihood dramatically.
They make the telling statement:
The overall quality of evidence for the diagnosis of non- gonococcal septic arthritis is relatively low
Which means they’re a bit crippled no matter what they do.
the prevalence of nongonococcal septic arthritis in adults presenting to the ED with acute monoarticular joint complaints to be approximately 27%
Anyone else thinks that’s a ridiculously high number? One in 4 with a single joint complaint have septic arthritis? I’ve seen 10 times as many gouty joints as I have septic ones.