Rheumatology Medical News about Shoulder and Hip

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A clinical analysis of shoulder and hip joint infections in children
Journal of Pediatric Orthopaedics , 09/30/09

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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