Septic Arthritis For Femoral Head

Cure Arthritis Naturally

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Septic arthritis of the hip joint can be a devastating problem, and is primarily a pediatric disease. Septic arthritis of the hip joint develops secondary to hematogenous introduction of bacteria through the synovium, or from the proximal femoral metaphysis. The most common organisms found are group B streptococci, Staph. aureus, Strept. pneumoniae, and H. influenza type B.13 Destruction of articular cartilage may ensue if prompt drainage is not performed.

Clinically, the child may present with pain, limp, or refusal to move the affected joint. The pain is usually found on the anterior aspect of the hip joint and may radiate to the knee. The child often holds the hip flexed, externally rotated, and abducted to maximize the joint space. Fever may or may not be present.

Laboratory workup should include white blood cell count with differential, ESR, C-reactive protein, and blood cultures. Plain radiographs may be inconclusive. Ultrasound may help with diagnosis in unclear cases.

The goals of treatment of septic arthritis of the hip are decompression of the joint capsule, joint debridement, reduction of bacterial load, and dismantling of loculations. Hip ar-throscopy is an excellent alternative to arthrotomy. The surgeon may obtain culture and sensitivities, debride the joint, and place a drain, all without creating a large incision. Chung et al performed arthroscopic lavage in nine patients, age 2-7 years old, who had positive cultures of the hip joint. Each patient received a total of 3-6 weeks of antibiotic treatment postoperatively. The patients experienced no recurrences requiring additional surgical intervention. The authors emphasized large-bore arthroscopy intrumentation, high-volume lavage, and postoperative suction drainage.14

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Arthritis Relief and Prevention

Arthritis Relief and Prevention

This report may be oh so welcome especially if theres no doctor in the house Take Charge of Your Arthritis Now in less than 5-Minutes the time it takes to make an appointment with your healthcare provider Could you use some help understanding arthritis Maybe a little gentle, bedside manner in your battle for joint pain relief would be great Well, even if you are not sure if arthritis is the issue with you or your friend or loved one.

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