Vidigal E C, Jácomo A D
Unit of Orthopaedic Surgery and Traumatology, Hospital de Base do Distirto Federal, University of Brasilia, Brazil.
Int Orthop. 1994 Jun;18(3):189-92. doi: 10.1007/BF00192478.
Fourteen neonates with septic arthritis of the hip, which had been diagnosed late, were reviewed with the aim of establishing the difficulties of making an early diagnosis. The history, physical signs, blood tests and examination of the synovial fluid are the most important guidelines. Radiography was not helpful as less than 50% of cases show early signs, most often a joint effusion. Early diagnosis and surgical drainage are necessary to avoid permanent damage to the cartilaginous femoral head.
对14例诊断较晚的新生儿髋关节化脓性关节炎病例进行了回顾，目的是确定早期诊断的困难之处。病史、体征、血液检查和关节液检查是最重要的指导依据。X线检查并无帮助，因为不到50%的病例显示早期征象，最常见的是关节积液。早期诊断和手术引流对于避免股骨头软骨的永久性损伤是必要的。
