Clinical Case Database / Category: Patient Management
Septic arthritis of the paediatric hip
Publication details
Mr David Ferguson, Mr Kurt Haendlmayer
Foundation Years Journal, volume 6, issue 3, p.20 (123Doc Education, London, March 2012)
Abstract
We present a case of a 12-year-old girl with a 2-day history of pain in her right hip. Key elements in her history and examination reveal the cardinal features of septic arthritis and are then confirmed on further investigation. Paediatric hip pain is very common and has many different causes. One of the most concerning and significant causes is septic arthritis. Diagnosis of this disorder can be difficult. Our aim in this case based review article is to describe the management by example. We recommend using a scoring system to decide which children are most at risk of septic arthritis, in order to guide initial management. We also describe the surgical treatment for septic arthritis of the hip, once the diagnosis has been made.
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Authors
Mr David Ferguson
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Mr Kurt Haendlmayer
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References
1. Silen M. L., Tracy T. F. The right lower quadrant “revisitedâ€. Paediatr Clin North Am 40:1201-1211, 1993
2. Hall A. J. Perthes Disease: Progress in aetiological research. In: Catterall A (ed) Recent Advances in Orthopaedics 5. Churchill Livingstone, Edinburgh, pp 187-199
3. Hagglund G, Hanson L. I., Ordeberg G. Epidemiology of slipped capital femoral epiphysis in Southern Sweden. Clinical Orthopaedics and Related Research 1984: 191; 82-94
4. Kocher M. S., Zurakowski D., Kasser J. R. Differentiating between septic arthritis and transient synovitis of the hip in Children: An evidence-based clinical prediction algorithm. JBJS Am Dec 1999; 81-A, 12: 1662-1670
5. Schmidt WA, Schmidt H, Schicke B, Gromnica-Ihle E. Standard reference values for musculoskeletal ultrasonography. Ann Rheum Dis2004;63:988–94.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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