septic arthritis
Beware 'transient synovitis' in age <3!
| Big ticket differential for The limping child with a fever | |
|---|---|
| Etiology | Hip joint most commonly affected. |
| Epidemiology | Risk factor: age, asplenia, immunosuppression |
| Clinical presentation | Unable to bear weight, fever, See Kocher criteria |
| Pathogenesis | |
| Diagnostic investigations | Differentials: malignancy, osteomyelitis |
| Management | systemic → septic shock local → joint fusion, joint destruction, fistula formation abx obv... Impending septic doom |