Difference between revisions of "Septic arthritis of the hip (peds)"

(Evaluation)
(See Also)
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==See Also==
 
==See Also==
*[[Hip Pain]]
 
 
*[[Hip Pain (Peds)]]
 
*[[Hip Pain (Peds)]]
 
*[[Septic Arthritis (Peds)]]
 
*[[Septic Arthritis (Peds)]]
*[[Septic Arthritis (General)]]
+
*[[Limp (peds)]]
  
 
[[Category:Pediatrics]]
 
[[Category:Pediatrics]]
 
[[Category:Orthopedics]]
 
[[Category:Orthopedics]]

Revision as of 21:14, 23 January 2017

Background

Clinical Features

  • Age - 6 mo to 8 yrs
  • Pain, Pseudoparalysis
  • May present with referred knee or thigh pain
  • Usually hold joint in flexion, external rotation and slight abduction

Differential Diagnosis

Pediatric hip pain

Evaluation

Workup

  • Labs - ESR > 20 after 1-2 d, WBC >
  • Bld Cxs (40-50% grow out)
  • Xrays
    • useful to exclude other cause of joint pain (AP & Frog leg)
    • possible effusion
  • Consider:
    • Ultrasound to evaluate for effusion
    • CT to evaluate for abscess

Kocher Criteria for septic arthritis of the hip

  • ESR > 40
  • WBC > 12
  • Refusal or inability to weight bear on affected joint
  • Fever
Number of Kocher Criteria Chance of Septic Joint
1 3%
2 40%
3 93%
4 99%

Management

Disposition

  • Admission

External Links

See Also