Vukasinović Zoran, Spasovski Dusko, Cobeljić Goran, Zivković Zorica
Srp Arh Celok Lek. 2006 Jan-Feb;134(1-2):77-81.
Septic arthritis of the hip in infancy is a serious condition which, if left untreated, results in disastrous sequelae and gross invalidity. Treatment is difficult and requires precise perception of characteristic clinical symptoms and signs, application of appropriate diagnostic procedures (laboratory analyses, ultrasound, radiography, joint aspiration, and occasionally additional methods), as well as parenteral administration of adequate antibiotics and obligatory surgical treatment. Differential-diagnostic spectrum of conditions similar to septic hip arthritis is large and diverse. Successful treatment is based on establishing the diagnosis on time, which is only achievable by methodical application of diagnostic protocol for septic hip arthritis in all suspected cases.
婴儿期髋关节化脓性关节炎是一种严重疾病,若不治疗会导致灾难性后果和严重残疾。治疗困难,需要精确识别特征性临床症状和体征,应用适当的诊断程序(实验室分析、超声、放射摄影、关节穿刺,偶尔还需其他方法),以及胃肠外给予足量抗生素和必要的手术治疗。与化脓性髋关节关节炎相似病症的鉴别诊断范围广泛且多样。成功的治疗基于及时确诊,而这只有通过在所有疑似病例中有条不紊地应用化脓性髋关节关节炎诊断方案才能实现。