Related Experiment Videos
[Sequelae of septic arthritis of the hip in newborns]
H Zwierzchowski1, D Zwierzchowska
1Katedry i Kliniki Ortopedii AM, Lodzi.
Insights
Neonatal hip arthritis can lead to long-term hip joint damage. Sequelae depend on the pathology
Area of Science:
- Orthopedics
- Pediatric Rheumatology
- Medical Imaging
Background:
- Neonatal hip arthritis can cause significant long-term sequelae.
- Understanding these sequelae is crucial for effective management.
Purpose of the Study:
- To analyze the sequelae of neonatal hip arthritis.
- To correlate sequelae with the localization of the inflammatory process.
Main Methods:
- Retrospective analysis of 75 hips in 68 patients (2 months to 14 years).
- Diagnosis based on history, clinical, and radiological examinations (radiographs, arthrography, sonography).
- Surgical findings were also considered.
Main Results:
- Pathological dislocation occurred in 15 joints with septic arthritis.
- Proximal femur involvement was noted in 60 hips.
- Epiphysis, physis, and metaphysis damage occurred in 35% of cases.
- Femoral neck involvement in 23%, and extensive head and neck damage in 42%.
Conclusions:
- Sequelae of neonatal hip arthritis are directly related to the location of the pathology.
- Significant bone deformities and defects can arise from inflammatory processes in the hip.
Abstract:
The sequelae of arthritis of the hip in neonatal period have been analyzed in a series of 75 hips in 68 patients aged from 2 months to 14 years. The diagnosis was set on the basis of history, medical documentation, clinical and radiological examination with standard radiographs, arthrography and sonography included; sometimes as late as at surgery. In 15 joints with synovial type of septic arthritis pathological dislocation has been found. In 60 hips the inflammatory process involved proximal end of the femur. The sequelae strictly depended on localization of the pathology. On the basis of ossification disturbances, deformities and defects found within the head and neck on radiographs in 35 per cent of cases damaged epiphysis, physis and metaphysis were detected. In 23 per cent the neck was involved; in 42 per cent extensive damage to the head and neck was noted.