Septic arthritis of the hip (peds) - Revision history

Rossdonaldson1: /* Background */

2025-02-26T20:25:59Z

Background

← Older revision		Revision as of 20:25, 26 February 2025
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	==Background==		==Background==
			{{Hip anatomy background images}}
	*Age - 6 mo to 8 yrs		*Age - 6 mo to 8 yrs
	*Hematogenous spread or local infection		*Hematogenous spread or local infection

2019-10-06T20:34:58Z

← Older revision		Revision as of 20:34, 6 October 2019
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	==Clinical Features==		==Clinical Features==
	*Pain, ~~Pseudoparalysis~~		*[[Hip pain (peds)\|Pain]], pseudoparalysis
	*May present with referred knee or thigh pain		*May present with referred knee or thigh pain
	*Usually hold joint in flexion, external rotation and slight abduction		*Usually hold joint in flexion, external rotation and slight abduction
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	**possible effusion		**possible effusion
	*Consider:		*Consider:
	**Ultrasound to evaluate for effusion		**[[musculoskeletal ultrasound\|Ultrasound]] to evaluate for effusion
	**CT to evaluate for abscess		**CT to evaluate for [[abscess]]

	{{Kocher criteria}}		{{Kocher criteria}}
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	[[Category:Pediatrics]]		[[Category:Pediatrics]]
	[[Category:Orthopedics]]		[[Category:Orthopedics]]
			[[Category:ID]]

2018-05-21T23:48:09Z

← Older revision		Revision as of 23:48, 21 May 2018
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	==Background==		==Background==
			*Age - 6 mo to 8 yrs
	*Hematogenous spread or local infection		*Hematogenous spread or local infection
	*[[Staph]], [[S. Pneumo]], [[group A strep]]		*[[Staph]], [[S. Pneumo]], [[group A strep]]
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	==Clinical Features==		==Clinical Features==
	*Age - 6 mo to 8 yrs
	*Pain, Pseudoparalysis		*Pain, Pseudoparalysis
	*May present with referred knee or thigh pain		*May present with referred knee or thigh pain
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	==Evaluation==		==Evaluation==
	===Workup===		===Workup===
	*Labs - ESR > 20 ~~after 1-2 d~~, WBC >		*Labs - ESR >20, WBC >12
	*~~Bld Cxs~~ (40-50% grow out)		*Blood cultures (40-50% grow out)
	*Xrays		*Xrays
	**useful to exclude other cause of joint pain (AP & Frog leg)		**useful to exclude other cause of joint pain (AP & Frog leg)
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	==Disposition==		==Disposition==
	*~~Admission~~		*Admit

	==External Links==		==External Links==
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	*[[Septic Arthritis (Peds)]]		*[[Septic Arthritis (Peds)]]
	*[[Limp (peds)]]		*[[Limp (peds)]]

			==References==
			<references/>

	[[Category:Pediatrics]]		[[Category:Pediatrics]]
	[[Category:Orthopedics]]		[[Category:Orthopedics]]

2017-01-23T21:14:45Z

2017-01-23T21:12:41Z

Evaluation

← Older revision		Revision as of 21:12, 23 January 2017
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	**useful to exclude other cause of joint pain (AP & Frog leg)		**useful to exclude other cause of joint pain (AP & Frog leg)
	**possible effusion		**possible effusion
	*CT		*Consider:
	**~~may be useful~~ to ~~look~~ for abscess~~, ultrasound for effusion~~		**Ultrasound to evaluate for effusion
			**CT to evaluate for abscess

	{{Kocher criteria}}		{{Kocher criteria}}

2017-01-23T21:10:55Z

Evaluation

@@ Line 23: / Line 23: @@
 **may be useful to look for abscess, ultrasound for effusion
-===Evaluation===
+{{Kocher criteria}}
 ==Management==

2017-01-23T21:10:04Z

Evaluation

← Older revision		Revision as of 21:10, 23 January 2017
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	#Fever		#Fever

	*1~~/4 criteria met -->~~ 3% ~~have septic joint~~		{\| {{table}}
	*2~~/4 -->~~ 40%		\| align="center" style="background:#f0f0f0;"\|'''Number of Kocher Criteria'''
	*3~~/4 -->~~ 93%		\| align="center" style="background:#f0f0f0;"\|'''Chance of Septic Joint'''
	*4/4 ~~-->~~ 99%		\|-
			\| 1\|\|3%
			\|-
			\| 2\|\|40%
			\|-
			\| 3\|\|93%
			\|-
			\| 4\|\|99%
			\|}

	==Management==		==Management==

2016-07-30T18:33:14Z

Text replacement - "UTZ" to "ultrasound"

← Older revision		Revision as of 18:33, 30 July 2016
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	**possible effusion		**possible effusion
	*CT		*CT
	**may be useful to look for abscess, ~~UTZ~~ for effusion		**may be useful to look for abscess, ultrasound for effusion

	===Evaluation===		===Evaluation===

2016-07-25T11:44:21Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-09T03:10:50Z

Text replacement - "==Treatment==" to "==Management=="

← Older revision		Revision as of 03:10, 9 July 2016
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	*4/4 --> 99%		*4/4 --> 99%

	==~~Treatment~~==		==Management==
	*OR drainage		*OR drainage
	*IV [[antibiotics]] x 10-14 days (before po)		*IV [[antibiotics]] x 10-14 days (before po)