Septic Arthritis of Hip is
relatively uncommon condition in children, but it should be suspected in a
child who is ill, toxic and unable to walk. Movement of the affected joint is
not possible because of pain. Diagnosis is confirmed by raised white cell count
and erythrocyte sedimentation rate(ESR) and perhaps by effusion on ultrasound
images. No test is perfectly sensitive or specific, so expert clinical
judgement is required.
Urgent surgical drainage should
be done to save the hip joint from destruction or to reduce the risk of late
osteoarthritis.
Diagnosis may be particularly
difficult in neonates.
Staphylococcus
aureus is the usual
infective organism.
Patient will
need long term antibiotic therapy.
Weight bearing should be avided
until complete recovery.
No comments:
Post a Comment