Septic Arthritis of the Knee in Children: A Critical Analysis Review

Ishaan Swarup1, Blake C Meza2, Daniel Weltsch2

  • 1UCSF Benioff Children's Hospital, Oakland, California.

JBJS Reviews
|February 28, 2020
PubMed

Insights

Septic arthritis of the knee in children, often caused by Staphylococcus aureus, can lead to permanent joint damage. Prompt diagnosis and surgical debridement are key to successful treatment and preventing long-term complications.

Area of Science:

  • Pediatric Orthopedics
  • Infectious Diseases
  • Pediatric Rheumatology

Background:

  • Septic arthritis of the knee is a common and serious condition in children.
  • It can cause irreversible joint damage if not treated promptly.
  • Staphylococcus aureus is the most frequent bacterial cause.

Purpose of the Study:

  • To review the epidemiology, diagnosis, and management of pediatric septic arthritis of the knee.
  • To highlight the importance of early intervention to prevent joint destruction.

Main Methods:

  • Review of clinical history and physical examination findings.
  • Analysis of laboratory blood tests and synovial fluid analysis (arthrocentesis).
  • Evaluation of treatment strategies including antibiotic therapy and surgical interventions.

Main Results:

  • Staphylococcus aureus is the predominant pathogen, though others exist in specific risk groups.
  • Diagnosis relies on clinical presentation, blood work, and joint fluid analysis.
  • Effective treatment involves appropriate antibiotics and surgical debridement with lavage.

Conclusions:

  • Early diagnosis and aggressive management, including surgical intervention, are crucial for favorable outcomes in pediatric knee septic arthritis.
  • Prompt treatment can prevent long-term joint damage and disability.