Filipe G, Samsom B
Chir Pediatr. 1978;19(2):101-5.
The authors report 13 pyogenic infections of the sacro-iliac joint in children. They emphasize the difficulties of the diagnosis. The disease is sometimes recognised only at a late stage because the sign must be misleading. The radiological appearance of the sacro-iliac joint is usually sufficient to diagnose the condition. The germ was most often a staphylococcus aureus. Healing is always obtained by rest or immobilisation on a plaster and antibiotics active against staphylococcus. Surgery is only indicated in presence of an abcess or in cases of diagnostic uncertainty.
作者报告了13例儿童骶髂关节化脓性感染。他们强调了诊断的困难。该病有时直到晚期才被发现,因为症状可能具有误导性。骶髂关节的放射学表现通常足以诊断该病。最常见的致病菌是金黄色葡萄球菌。通过休息、石膏固定以及使用对葡萄球菌有效的抗生素,总能实现治愈。只有在出现脓肿或诊断不确定的情况下才考虑手术治疗。