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Septic physeal separation of proximal femur in a newborn. | LitMetric

Septic physeal separation of proximal femur in a newborn.

J Orthop Traumatol

Orthopaedic and Traumatology Unit, Vicenza General Hospital, Vicenza, Italy.

Published: June 2009

AI Article Synopsis

  • - The text discusses a rare medical case involving a 28-day-old female newborn with elevated temperature, highlighting the challenges in diagnosing physeal separations and septic osteomyelitis or arthritis.
  • - After undergoing three nonorthopaedic surgeries, the patient received an orthopedic evaluation, which eventually led to the diagnosis of septic arthritis and hip dislocation through imaging techniques.
  • - The case emphasizes the difficulties in differential diagnosis and the importance of timely imaging and treatment, resulting in an excellent long-term outcome after prompt surgical intervention.

Article Abstract

In newborns physeal separations and septic osteomyelitis or arthritis are unusual, representing a problem in diagnosis and treatment. Therapy needs to be carried out soon in order to prevent anatomical and functional consequences. Association between septic event and physeal separation is rare. We report a 28-day-old female, admitted for elevated temperature, who underwent three nonorthopaedic surgical procedures before, and orthopaedic evaluation 8 days after admission. After an X-ray and an ultrasonography a septic arthritis with consequent hip dislocation was supposed. Only at the time of surgery a separation between the epiphysio-trochanteric nuclei complex and the femoral shaft was observed, with clear hip joint. The interest in this case consists in the difficulty of the differential diagnosis at the first evaluation, the orthopaedic misdiagnosis based on the lack of complete preoperative imaging, and finally the long-term excellent result after a prompt surgical treatment.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2688597PMC
http://dx.doi.org/10.1007/s10195-009-0053-7DOI Listing

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