Select a Community
Are you sure you want to trigger topic in your Anconeus AI algorithm?
You are done for today with this topic.
Would you like to start learning session with this topic items scheduled for future?
Untreated neonatal hip infection
91%
3074/3378
Chondrosarcoma
1%
38/3378
Legg-Calve-Perthes disease
6%
205/3378
Slipped capital femoral epiphysis
0%
11/3378
Osteosarcoma
28/3378
Select Answer to see Preferred Response
The clinical scenario and images are consistent with a neglected pediatric septic hip. The AP pelvis in Figure A shows an absent left femoral head due to an untreated infection. Failure to diagnose an infected adjacent joint can lead to joint destruction and physeal damage with resultant deformity. Surgical options for hip deformity following a neglected infection include trochanteric osteotomy, proximal femoral varus osteotomy, and a modified Albee arthroplasy. McCarthy at al reviewed the pediatric musculoskeletal infection principles and treatments in their Instructional Course Lecture. Prevention, prompt and accurate diagnosis, and timely intervention are needed to prevent late sequelae such as limb-length inequalities and angular deformities. Proper diagnosis includes evaluating adjacent joints of neonatal infections. Peters et al reviewed the results of septic arthritis and physeal damage on overall growth. Growth plate arrest in the distal femur, proximal femur and proximal humerus accounted for angular deformities in neonates with prior joint infections. They recommended continued long-term growth monitoring of infected patients until age 9.
3.8
(21)
Please Login to add comment