[Neonatal osteomyelitis of the proximal femur: a case with ten-year follow-up and review of the literature].

ArticleinRevue de Chirurgie Orthopédique et Réparatrice de l Appareil Moteur 93(6):594-8 · November 2007with7 Reads
Impact Factor: 0.55 · Source: PubMed

    Abstract

    Acute hematogenous osteomyelitis most frequently occurs in children, generally around 6 to 9 years of age. If it occurs in early infancy, the infection usually involves both the bone and the joint, nearly simultaneously. Neonatal osteomyelitis is another presentation, with an osteomyelitic focus in the metaphysis. We report a case of septic arthritis following osteomyelitis of the hip joint in a neonate caused by a virulent pathogenic organism. Despite late diagnosis and treatment, outcome was very satisfactory with few sequelae for the joint and epiphysis. It should be emphasized that early diagnosis, with prompt and adequate treatment is essential to achieve good outcome. We discuss this case and present a review of the literature.