Acute suppurative arthritis of the hip in the neonatal period.

摘要: Suppurative arthritis of the hip is a serious lesion in premature and fullterm infants neonatal period. Septicemia, precursor to hip-joint suppuration, difficult recognize at this age. The clinical manifestations septicemia period are reviewed. Hemolytic Staphylococcus aureus was most common organism recovered from blood stream joint. It found five six seven nine full-term infants, including one with bilateral involvement. In fifteen hips hematogenous osteomyelitis intracapsular portion femur (eleven hips) ilium (four source joint pus. In that showed no focus involvement bone, hemolytic streptococcus infection may have reached by synovial implantation organisms. Subluxation or pathological dislocation seen on roentgenograms all group. In twelve joints infected , eight femoral heads disappeared. there delay four sixteen days onset suppuration local treatment hip, either surgical drainage repeated aspiration instillations penicillin. The important factors saving cartilaginous early diagnosis prompt evacuation pus, preferably incision drainage. Systemic antibiotics proved be effective controlling osteomyelitis, but they were unable sterilize joints. Antibiotics could not take place drainage.