ARTHRITE SEPTIQUE DE LA HANCHE PDF
Request PDF on ResearchGate | L’arthrite septique de hanche chez l’enfant drépanocytaire | Purpose of the study Sickle-cell anemia is an. Nous rapportons la survenue, chez un sujet immunocompétent, d’une arthrite septique de hanche, associée à un abcès du psoas, avec preuve bactériologique . Request PDF on ResearchGate | On Jan 1, , Jean-Marc Ziza and others published Arthrite septique.
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Sickle-cell anemia is an inherited disorder exposing patients to diverse complications, particularly bone and joint disease.
Septic arthritis of the hip joint is a frequent infection in sickle-cell anemia. Without early management, there is an important risk of invalidating hip dysfunction. The purpose of this study was to analyze the epidemiological, clinical and therapeutic aspects of septic arthritis of the hip joint in order to focus on the need for early diagnosis, the best way to improve the prognosis of hip function.
This was a retrospective study over a 10 year period which included nine children seven boys and two girlsmean age six years who were managed in our hospital for septic arthritis of the hip joint.
These children had at least one hemoglobin S: In these sickle-cell anemia children, the septic arthritis developed in a non traumatic context with osteonecrosis of the femoral head. One hip was involved in six children and both in three 12 hips. Mean time from symptom onset to consultation was eight days. The treatment included antibiotics for six weeks, puncture-drainage, and immobilization for three to four weeks.
Outcome was excellent in nine hips and good in three. The diagnosis of septic arthritis of the hip joint must be made early, based on ultrasound or scintigraphic findings. Bacteriological samples of joint fluids are required to adjust the antibiotic regimen.
Drainage is preferred, if possible by arthroscopy. Arthrotomy should be reserved for cases with a thick discharge which is difficult to evacuate via puncture drainage.
Arthrites primitives de hanche de l’adulte
Early diagnosis, careful evacuation of the joint collection, and adapted antibiotic therapy with hip immobilization are the keys to good functional outcome.
Sickle-cell disease, Hip septic arthritis, Children.
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OER-UCLouvain: Rhume de hanche et diagnostif différentiel avec l’arthrite septique de hanche
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