Hip Pelvis.  2013 Jun;25(2):145-148. 10.5371/hp.2013.25.2.145.

Arthroscopic Treatment of Septic Arthritis of the Hip in a Child: A Case Report

Affiliations
  • 1Department of Orthopaedic Surgery, College of Medicine, Chung-Ang University, Seoul, Korea. jihoon011@naver.com

Abstract

Recommended treatment options for acute septic arthritis in children include repeated aspiration, open arthrotomy, and arthroscopic drainage. However, reports of arthroscopic treatment of septic arthritis of the hip in a child are rare. We experienced a case of arthroscopic management of acute septic arthritis of the right hip joint in a three-year-old child using a 30degrees, 2.7 mm arthroscope for the ankle joint through manual traction without use of a traction table. The patient had complete range of motion in the right hip joint two weeks after surgery and recurrent infection was not observed at the final follow-up two years postoperatively.

Keyword

Septic arthritis; Arthroscopic management; Child

MeSH Terms

Ankle Joint
Arthritis, Infectious
Arthroscopes
Child
Drainage
Follow-Up Studies
Hip
Hip Joint
Humans
Range of Motion, Articular
Traction

Figure

  • Fig. 1 (A) Arthroscopic appearance using two portals. (B) Location of the ancillary portal placed 2.5 cm distal to the anterolateral portal.

  • Fig. 2 (A) Arthroscopic view shows a synovitis lesion of around femoral neck junction. (B) The hip joint was debrided by the motorized shaver.


Reference

1. Sucato DJ, Schwend RM, Gillespie R. Septic arthritis of the hip in children. J Am Acad Orthop Surg. 1997; 5:249–260.
Article
2. Shaw BA, Kasser JR. Acute septic arthritis in infancy and childhood. Clin Orthop Relat Res. 1990; 212–225.
Article
3. Goldenberg DL. Septic arthritis. Lancet. 1998; 351:197–202.
Article
4. Mathews CJ, Kingsley G, Field M, et al. Management of septic arthritis: a systematic review. Ann Rheum Dis. 2007; 66:440–445.
Article
5. DeAngelis NA, Busconi BD. Hip arthroscopy in the pediatric population. Clin Orthop Relat Res. 2003; 60–63.
Article
6. Kim SJ, Choi NH, Ko SH, Linton JA, Park HW. Arthroscopic treatment of septic arthritis of the hip. Clin Orthop Relat Res. 2003; 211–214.
Article
7. El-Sayed AM. Treatment of early septic arthritis of the hip in children: comparison of results of open arthrotomy versus arthroscopic drainage. J Child Orthop. 2008; 2:229–237.
Article
8. Byrd JW. Operative hip arthroscopy. 2nd ed. Berlin: Springer;2011. p. 36–51. p. 110–117. p. 204–220.
9. Luhmann SJ, Jones A, Schootman M, Gordon JE, Schoenecker PL, Luhmann JD. Differentiation between septic arthritis and transient synovitis of the hip in children with clinical prediction algorithms. J Bone Joint Surg Am. 2004; 86-A:956–962.
Article
10. Jayakumar P, Ramachandran M, Youm T, Achan P. Arthroscopy of the hip for paediatric and adolescent disorders: current concepts. J Bone Joint Surg Br. 2012; 94:290–296.
Full Text Links
  • HP
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr