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See Latest ArticlesA clinical analysis of shoulder and hip joint infections in children
Journal of Pediatric Orthopaedics , 09/29/09
Belthur MV et al. – Septic arthritis of the shoulder in the pediatric population often has a delayed presentation with a more complicated disease course than an infection of the hip. Children with shoulder infections require a longer duration of treatment and may experience a higher likelihood of skeletal complications.
Methods- 9 patients were compared with 14 selected patients treated for septic arthritis of the hip (mean age 7 y, range: 1 to 12 y)
- Surgical drainage was performed by open arthrotomy in each case Results
- Children with shoulder infections differed significantly from patients with hip infections with regard to temperature, white blood cell count, and erythrocyte sedimentation rate at the time of admission
- The average time from the onset of symptoms to presentation was notably longer in the shoulder group compared with the hip group
- Adjacent osteomyelitis was found in 67% of the shoulders and 36% of the hips
- Children suffering from septic arthritis of the shoulder showed higher rates of repeat surgical drainage and extended hospitalizations
- The total duration of antibiotics was longer in the shoulder group
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