How do organisms reach the synovium to cause septic arthritis

How do organisms reach the synovium to cause septic arthritis?

• Hematogenously from a remote infection (70%).

• Dissemination from adjacent osteomyelitis (especially in children).

• Lymphatic spread from a soft tissue infection near the joint.

• Iatrogenic infections from arthrocentesis or arthroscopy (20%).

• Penetrating trauma from plant thorns or other contaminated objects.

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