InfectionsThe predictive value of synovial glucose level in septic arthritisKinugasa, Makia; Kobayashi, Daisukea; Satsuma, Shinichia; Sakata, Ryosukea; Shinada, Yoshiyukic; Kuroda, RyosukebAuthor Information aDepartment of Orthopedic Surgery, Kobe Children’s Hospital bDepartment of Orthopedic Surgery, Kobe University Hospital, Kobe, Hyogo Prefecture cDepartment of Orthopedic Surgery, Matsudo City Hospital, Matsudo, Chiba Prefecture, Japan Correspondence to Maki Kinugasa, MD, Department of Orthopedic Surgery, Kobe Children’s Hospital, 1-6-7 Minatojima Minamimachi, Chuouku, Kobe 650-0047, Hyogo Prefecture, Japan, Tel: + 81 78 945 7300; fax: +81 78 302 1023; e-mail: firstname.lastname@example.org Journal of Pediatric Orthopaedics B: May 2020 - Volume 29 - Issue 3 - p 292-296 doi: 10.1097/BPB.0000000000000628 Buy Metrics Abstract The aim of this study was to investigate the ability of the joint fluid glucose level to detect septic arthritis. Thirty joints in 30 patients with suspected septic arthritis were evaluated. When glucose level was less than 40 mg/dl, we performed arthrotomy. Eleven patients had joint fluid glucose levels less than 40 mg/dl. All 11 (100%) had positive joint fluid cultures. Conversely, 19 patients had synovial glucose levels of at least 40 mg/dl. Six (31.6%) of these had positive joint fluid cultures. The remaining 13 were diagnosed with transient synovitis. Patients with joint fluid glucose levels less than 40 mg/dl should be suspected septic arthritis. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.