45. Prognostic significance of septic hip conditions in newborn

• Neonatal septic arthritis of the hip, the bacterial infection of the hip of the child, is a surgical emergency. If not treated rapidly it will cause permanent joint damage for the developing hip.
• Epidemiology
  • 50% occur in children < 2 years
  • Hip is involved in 1/3 of all neonatal septic arthritides
• Risk factors
  • Prematurity
  • C-section
  • Trauma
  • Infection
• Clinical features
  • Acute pain
  • Fever
  • Limping
  • Swelling
• Prognosis
  • Delayed diagnosis and treatment will cause permanent joint damage
  • Femoral head destruction
  • Joint contracture
  • Gait abnormalities
• Treatment
  • Emergency surgical incision and drainage, followed by IV antibiotics