Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
Septic arthritis is most commonly due to staphylococcus that seeds the intraarticular part of the femoral metaphysis during septicemia. Complications that can occur if treatment is not prompt can include joint destruction, epiphysis ossification center destruction, secondary osteomyelitis, and joint capsule contraction.
Plain film can show osteopenia of femoral epiphysis and metaphysis due to disuse or hyperemia, increased medial joint space due to increased pressure from joint fluid (Waldenstein's sign), and frank osteomyelitis. Cartilage destruction and femoral head overgrowth may be seen late.
Ultrasound allows direct visualization of a hip effusion, if one is present.
See References Chapter.
Section Top | Title Page
Follow us on Twitter @pedseducation and @pedsimaging
Please send us comments by filling out our Comment Form.
All contents copyright © 1992-2016 Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. and the authors. All rights reserved.
"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.
Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.
Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.
The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.