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Chapter 19 - Musculoskeletal Infection

from Section 3 - Core Paediatric Orthopaedics

Published online by Cambridge University Press:  30 January 2024

Sattar Alshryda
Affiliation:
Al Jalila Children’s Specialty Hospital, Dubai Academic Health Corporation, Dubai UAE
Stan Jones
Affiliation:
Al Ahli Hospital, Qatar
Paul A. Banaszkiewicz
Affiliation:
Queen Elizabeth Hospital, Gateshead
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Summary

Septic arthritis is an intra-articular microbial infection of the joint. It typically affects large joints, such as the hip (35%), knee (35%), and ankle (10%), although other joints may be affected. Usually only one joint is affected, but multiple joint involvement has been reported.

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Chapter
Information
Postgraduate Paediatric Orthopaedics
The Candidate's Guide to the FRCS(Tr&Orth) Examination
, pp. 338 - 346
Publisher: Cambridge University Press
Print publication year: 2024

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References

Herring, JA. Tachdjians’ Pediatric Orthopaedics, 5th ed, Vol. 1. Philadelphia, PA: Saunders Elsevier; 2014.Google Scholar
Russell, CD, et al. Microbiological characteristics of acute osteoarticular infections in children. J Med Microbiol. 2015;64(Pt 4):446–53.Google Scholar
Ceroni, D, et al. Kingella kingae osteoarticular infections in young children: clinical features and contribution of a new specific real-time PCR assay to the diagnosis. J Pediatr Orthop. 2010;30(3):301–4.Google Scholar
Maharajan, K, et al. Serum Procalcitonin is a sensitive and specific marker in the diagnosis of septic arthritis and acute osteomyelitis. J Orthop Surg Res. 2013;8:19.Google Scholar
Zhao, J, et al. Serum procalcitonin levels as a diagnostic marker for septic arthritis: a meta-analysis. Am J Emerg Med. 2017;35(8):1166–71.Google Scholar
Dorr, U, Zieger, M, Hauke, H. [The painful hip – diagnostic possibilities of sonography]. Rofo. 1988;148(5):487–91.Google Scholar
Dorr, U, Zieger, M, Hauke, H. Ultrasonography of the painful hip. Prospective studies in 204 patients. Pediatr Radiol. 1988;19(1):3640.Google Scholar
Zamzam, MM. The role of ultrasound in differentiating septic arthritis from transient synovitis of the hip in children. J Pediatr Orthop B. 2006;15(6):418–22.Google Scholar
Kocher, MS, Zurakowski, D, Kasser, JR. Differentiating between septic arthritis and transient synovitis of the hip in children: an evidence-based clinical prediction algorithm. J Bone Joint Surg Am. 1999;81(12):1662–70.Google Scholar
Kocher, MS, et al. Validation of a clinical prediction rule for the differentiation between septic arthritis and transient synovitis of the hip in children. J Bone Joint Surg Am. 2004. 86-A(8):1629–35.Google Scholar
Caird, MS, et al. Factors distinguishing septic arthritis from transient synovitis of the hip in children. A prospective study. J Bone Joint Surg Am. 2006;88(6):1251–7.Google Scholar
Luhmann, SJ, et al. Differentiation between septic arthritis and transient synovitis of the hip in children with clinical prediction algorithms. J Bone Joint Surg Am. 2004;86-A(5):956–62.Google Scholar
Dartnell, J, Ramachandran, M, Katchburian, M. Haematogenous acute and subacute paediatric osteomyelitis: a systematic review of the literature. J Bone Joint Surg Br. 2012;94(5):584–95.Google Scholar
Speers, DJ, Nade, SM. Ultrastructural studies of adherence of Staphylococcus aureus in experimental acute hematogenous osteomyelitis. Infect Immun. 1985;49(2):443–6.Google Scholar
Trueta, J. The normal vascular anatomy of the human femoral head during growth. J Bone Joint Surg Br. 1957;39-B(2):358–94.Google Scholar
Herring, JA. Infection of the musculoskeletal system. In: Herring, JA, ed. Tachdjians’ Pediatric Orthopaedics, 4th ed, Vol. 3. Philadelphia, PA: Saunders Elsevier; 2008. pp. 2089–146.Google Scholar
Stans, AA, Schoenecker, JG. Musculoskeletal infection. In: Weinstein, SL, Flynn, JM, eds. Lovell and Winter’s Pediatric Orthopaedics, 8th ed, Vol. 1. Philadelphia, PA: Lippincott Williams & Wilkins; 2021. p. 396.Google Scholar
Pennington, WT, et al. Photopenic bone scan osteomyelitis: a clinical perspective. J Pediatr Orthop. 1999;19(6):695–8.Google Scholar
Megan Mignemi, M, Lawson Copley, M, Schoenecker, JM. Evidence-based treatment for musculoskeletal infection In: Alshryda, S, Huntley, JS, Banaszkiewicz, P, eds. Paediatric Orthopaedics: An Evidence-Based Approach to Clinical Questions. Cham: Springer; 2016. pp. 5175.Google Scholar
Jagodzinski, NA, et al. Prospective evaluation of a shortened regimen of treatment for acute osteomyelitis and septic arthritis in children. J Pediatr Orthop. 2009;29(5):518–25.Google Scholar
Peltola, H, et al. Short- versus long-term antimicrobial treatment for acute hematogenous osteomyelitis of childhood: prospective, randomized trial on 131 culture-positive cases. Pediatr Infect Dis J. 2010;29(12):1123–8.Google Scholar
Connolly, SA, et al. MRI for detection of abscess in acute osteomyelitis of the pelvis in children. AJR Am J Roentgenol. 2007;189(4):867–72.Google Scholar

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