Related Experiment Videos
[Subacute osteomyelitis of the acetabulum]
D Viejo-Fuertes1, P Clapuyt, J P Staelens
1Service de Chirurgie Orthopédique et de Traumatologie de l'Appareil Locomoteur, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, 1200 Bruxelles, Belgique.
Revue De Chirurgie Orthopedique Et Reparatrice De L'Appareil Moteur
|January 28, 2005
Summary
A pediatric hip disorder, potentially subacute osteomyelitis, presented with an acetabular defect. Treatment involved immobilization, leading to satisfactory healing but requiring corrective surgery for coxa valga.
Area of Science:
- Pediatric Orthopedics
- Infectious Diseases
- Radiology
Background:
- A 15-month-old girl presented with hip excentration and an acetabular defect.
- Arthrography confirmed communication between the hip joint and the acetabular defect.
- Bacteriological analysis of joint fluid was negative.
Observation:
- Radiographic findings suggested subacute osteomyelitis.
- The patient had a history of antibiotic treatment for urinary tract infections and pharyngitis.
- Initial management involved relative immobilization with an Atlanta abduction device.
Findings:
- The acetabular defect showed progressive filling.
- A subluxating coxa valga developed secondary to the condition.
- A varus osteotomy of the femur was required to correct the coxa valga.
Implications:
- This case may represent a unique form of subacute osteomyelitis not previously classified.
- Highlights the importance of considering osteomyelitis in pediatric hip abnormalities.
- Demonstrates the potential for secondary hip deformities and the need for surgical intervention.