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[Osteomyelitis of the ischium with ipsilateral hip dislocation in an infant]
1Orthopädische Abteilung des RKU, Orthopädische Klinik der Universität Ulm.
Klinische Padiatrie
|November 1, 1995
Insights
Acute hematogenous osteomyelitis affecting the ischium is rare. In infants, this can lead to hip dislocation, successfully treated with arthroscopic lavage, antibiotics, and Pavlik harness reduction.
Area of Science:
- Pediatric Orthopedics
- Infectious Diseases
- Rheumatology
Background:
- Acute hematogenous osteomyelitis is a rare bone infection.
- Osteomyelitis of the os ischii is exceptionally uncommon.
- Developmental dysplasia of the hip (DDH) is a common pediatric condition.
Observation:
- A 4-month-old girl presented with acute hematogenous osteomyelitis of the os ischii.
- The infection involved the acetabulum, causing synovitis.
- This synovitis led to a dislocation of the ipsilateral hip joint.
Findings:
- The patient underwent arthroscopic joint lavage to address the infection and inflammation.
- Antibiotic treatment was administered to combat the osteomyelitis.
- Closed reduction of the hip dislocation was performed and the hip was immobilized in a Pavlik harness.
Implications:
- This case highlights a rare presentation of osteomyelitis in infants.
- Early diagnosis and combined treatment are crucial for managing hip dislocation secondary to osteomyelitis.
- Successful management can lead to satisfactory functional outcomes in infants with this complex condition.
Abstract:
Acute hematogenous osteomyelitis of the os ischii is a rare disease. Involvement of the acetabulum in a 4-month old girl with concomitant developmental dysplasia of the ipsilateral hip caused a dislocation of the hip joint due to synovitis. Arthroscopic joint lavage, antibiotic treatment and reduction of the hip in a pavlik-harness led to a satisfactory result.