Overview
What is pediatric septic arthritis (SA)?
When is emergency treatment indicated for pediatric septic arthritis (SA)?
What is the pathogenesis of pediatric septic arthritis (SA)?
What causes pediatric septic arthritis (SA)?
What is the prevalence of pediatric septic arthritis (SA) in the US?
What are the sexual predilections of pediatric septic arthritis (SA)?
Which age groups have the highest prevalence of pediatric septic arthritis (SA)?
What is the prognosis of septic arthritis (SA) in pediatric patients?
Presentation
How is joint pain or swelling characterized in septic arthritis (SA)?
What are the signs and symptoms of pseudoparalysis in septic arthritis (SA)?
Which clinical history findings differentiate septic arthritis (SA) from transient synovitis?
Which physical findings are characteristic of pediatric septic arthritis (SA)?
What is the prevalence of fever in pediatric septic arthritis (SA)?
DDX
How is pediatric septic arthritis (SA) differentiated from transient synovitis?
How is pediatric septic arthritis (SA) differentiated from a slipped capital femoral epiphysis?
How is pediatric septic arthritis (SA) differentiated from Legg-Calve-Perthes disease?
How is pediatric septic arthritis (SA) differentiated from Lyme disease?
How is pediatric septic arthritis (SA) differentiated from acute rheumatic fever (ARF)?
How is pediatric septic arthritis (SA) differentiated from C difficile reactive arthritis?
What are the differential diagnoses for Pediatric Septic Arthritis?
Workup
How is pediatric septic arthritis (SA) diagnosed?
What is the role of lab tests in the workup of pediatric septic arthritis (SA)?
What is the role of radiography in the workup of pediatric septic arthritis (SA)?
What is the role of ultrasonography in the workup of pediatric septic arthritis (SA)?
What is the role of scintigraphy in the workup of pediatric septic arthritis (SA)?
Treatment
How is septic arthritis (SA) treated?
Which specialist consultations are beneficial to patients with pediatric septic arthritis (SA)?
What is the role of splinting in the treatment of septic arthritis (SA)?
What is the role of antibiotics in the treatment of septic arthritis (SA)?
What is the role of aspiration in the treatment of septic arthritis (SA)?
What is the role of arthrotomy and open drainage in the treatment of septic arthritis (SA)?
Medications
What is the role of medications in the treatment of pediatric septic arthritis (SA)?
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Emergency room photograph of an infant with septic arthritis of the left hip. The child holds his hip rigidly in the classic position of flexion, abduction, and external rotation, a position that maximizes capsular volume. The patient is relatively comfortable as long as the hip joint remains immobile in this position.