Early diagnosis of septic arthritis of the hip in neonates
✍ Scribed by E. C. Vidigal; A. D. Jácomo
- Publisher
- Springer
- Year
- 1994
- Tongue
- English
- Weight
- 278 KB
- Volume
- 18
- Category
- Article
- ISSN
- 0341-2695
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✦ Synopsis
Fourteen neonates with septic arthritis of the hip, which had been diagnosed late, were reviewed with the aim of establishing the difficulties of making an early diagnosis. The history, physical signs, blood tests and examination of the synovial fluid are the most important guidelines. Radiography was not helpful as less than 50% of cases show early signs, most often a joint effusion. Early diagnosis and surgical drainage are neces-sar3, to avoid permanent damage to the cartilaginous femoral head. R6sum6. Les auteurs ont revu 14 cas d'arthrite septique de la hanche chez des nouveaux-nds dans l'intention de ddterminer les facteurs ayant retardd le diagnostic prdcoce. L ' anamn~se, l'examen clinique, les tests sanguins et l'examen du liquide synovial sont les dldments fondamentaux du diagnostic. L'examen radiologique est de moindre importance puis qu'il ne montre de signes prdcoces que dans moins de 50% des cas, gl savoir le plus souvent un dlargissement de l'intertigne articulaire. Un diagnostic prdcoce suivi d'un drainage chirurgical sont les mesures les plus importantes pour dviter la destruction de la t&e fdmorale dans les infections de hanche glla pdriode ndo-natale. Yes 05 23 2.500 No No 06 30 2.600 Conjunc-Yes tivitis and enterocolitis 07 15 2.800 No No 08 9 3.100 No No 09 16 1.000 No No
📜 SIMILAR VOLUMES
Abnormalities on computed tomography (CT) are described in 12 adults in whom septic arthritis of the hip was diagnosed. Presenting symptoms varied, as did CT findings. Soft tissue abnormalities ranged from intra-articular effusion to large abscess formation, and bone changes ranged from minimal eros