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Pediatric Acetabular Osteomyelitis Treated With Hip Arthroscopy

Osteomyelitis of the acetabulum is a rare condition accounting for only 12% of pelvic osteomyelitis cases. This report describes a previously healthy 10-year-old girl with subacute acetabular osteomyelitis and subsequent development of secondary septic arthritis of the hip. The patient presented wit...

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Autores principales: Lovse, Lisa J., Coupal, Stephanie A., Tice, Andrew D. W., Le Saux, Nicole, Carsen, Sasha P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8099414/
https://www.ncbi.nlm.nih.gov/pubmed/33945515
http://dx.doi.org/10.5435/JAAOSGlobal-D-21-00011
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author Lovse, Lisa J.
Coupal, Stephanie A.
Tice, Andrew D. W.
Le Saux, Nicole
Carsen, Sasha P.
author_facet Lovse, Lisa J.
Coupal, Stephanie A.
Tice, Andrew D. W.
Le Saux, Nicole
Carsen, Sasha P.
author_sort Lovse, Lisa J.
collection PubMed
description Osteomyelitis of the acetabulum is a rare condition accounting for only 12% of pelvic osteomyelitis cases. This report describes a previously healthy 10-year-old girl with subacute acetabular osteomyelitis and subsequent development of secondary septic arthritis of the hip. The patient presented with 3 weeks of groin pain, elevated erythrocyte sedimentation rate and C-reactive protein, synovial thickening of the hip on ultrasonography and diffuse signal uptake in the acetabulum on magnetic resonance imaging. Despite antibiotic therapy, her symptoms worsened clinically, and repeat Magnetic resonance imaging images showed worsening of the osteomyelitis with likely extension through the acetabulum and into the joint. A hip aspirate was positive for Fusobacterium, an atypical anaerobe. Hip arthroscopy, with identification of the site of extrusion and then extensive débridement and irrigation, was successful in helping to control and ultimately eradicate the infection. The patient regained normal hip function and returned to full activities. This case demonstrates how hip arthroscopy can serve as an important surgical treatment modality for acetabular osteomyelitis with intraarticular extension in addition to septic arthritis of the hip.
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spelling pubmed-80994142021-05-06 Pediatric Acetabular Osteomyelitis Treated With Hip Arthroscopy Lovse, Lisa J. Coupal, Stephanie A. Tice, Andrew D. W. Le Saux, Nicole Carsen, Sasha P. J Am Acad Orthop Surg Glob Res Rev Case Report Osteomyelitis of the acetabulum is a rare condition accounting for only 12% of pelvic osteomyelitis cases. This report describes a previously healthy 10-year-old girl with subacute acetabular osteomyelitis and subsequent development of secondary septic arthritis of the hip. The patient presented with 3 weeks of groin pain, elevated erythrocyte sedimentation rate and C-reactive protein, synovial thickening of the hip on ultrasonography and diffuse signal uptake in the acetabulum on magnetic resonance imaging. Despite antibiotic therapy, her symptoms worsened clinically, and repeat Magnetic resonance imaging images showed worsening of the osteomyelitis with likely extension through the acetabulum and into the joint. A hip aspirate was positive for Fusobacterium, an atypical anaerobe. Hip arthroscopy, with identification of the site of extrusion and then extensive débridement and irrigation, was successful in helping to control and ultimately eradicate the infection. The patient regained normal hip function and returned to full activities. This case demonstrates how hip arthroscopy can serve as an important surgical treatment modality for acetabular osteomyelitis with intraarticular extension in addition to septic arthritis of the hip. Wolters Kluwer 2021-05-04 /pmc/articles/PMC8099414/ /pubmed/33945515 http://dx.doi.org/10.5435/JAAOSGlobal-D-21-00011 Text en Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lovse, Lisa J.
Coupal, Stephanie A.
Tice, Andrew D. W.
Le Saux, Nicole
Carsen, Sasha P.
Pediatric Acetabular Osteomyelitis Treated With Hip Arthroscopy
title Pediatric Acetabular Osteomyelitis Treated With Hip Arthroscopy
title_full Pediatric Acetabular Osteomyelitis Treated With Hip Arthroscopy
title_fullStr Pediatric Acetabular Osteomyelitis Treated With Hip Arthroscopy
title_full_unstemmed Pediatric Acetabular Osteomyelitis Treated With Hip Arthroscopy
title_short Pediatric Acetabular Osteomyelitis Treated With Hip Arthroscopy
title_sort pediatric acetabular osteomyelitis treated with hip arthroscopy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8099414/
https://www.ncbi.nlm.nih.gov/pubmed/33945515
http://dx.doi.org/10.5435/JAAOSGlobal-D-21-00011
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