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

(Treatment)
(Kocher Criteria)
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===Kocher Criteria===
 
===Kocher Criteria===
*ESR > 40
+
#ESR > 40
*WBC > 12
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#WBC > 12
*Refusal or inability to weight bear on affected joint
+
#Refusal or inability to weight bear on affected joint
*Fever
+
#Fever
  
  

Revision as of 12:55, 26 August 2015

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

Diagnosis

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
  • CT
    • may be useful to look for abscess, UTZ for effusion

Kocher Criteria

  1. ESR > 40
  2. WBC > 12
  3. Refusal or inability to weight bear on affected joint
  4. Fever


  • 1/4 criteria met --> 3% have septic joint
  • 2/4 --> 40%
  • 3/4 --> 93%
  • 4/4 --> 99%

Treatment

Disposition

  • Admission

External Links

See Also