Septic physeal separation of proximal femur in a newborn

Journal of Orthopaedics and Traumatology

Andrea Micaglio¹  Roberto Schiavon¹  Andrea Borgo² 

[1]Vicenza General Hospital$$

[2]Università degli Studi di Padova$$

关键词: Diagnostic errors;   

DOI  :  10.1007/s10195-009-0053-7

学科分类：骨科学

来源: Springer

【 摘 要 】

In newborns physeal separations and septic osteomyelitis or arthritis are unusual, representing a problem in diagnosis and treatment. Therapy needs to be carried out soon in order to prevent anatomical and functional consequences. Association between septic event and physeal separation is rare. We report a 28-day-old female, admitted for elevated temperature, who underwent three nonorthopaedic surgical procedures before, and orthopaedic evaluation 8 days after admission. After an X-ray and an ultrasonography a septic arthritis with consequent hip dislocation was supposed. Only at the time of surgery a separation between the epiphysio-trochanteric nuclei complex and the femoral shaft was observed, with clear hip joint. The interest in this case consists in the difficulty of the differential diagnosis at the first evaluation, the orthopaedic misdiagnosis based on the lack of complete preoperative imaging, and finally the long-term excellent result after a prompt surgical treatment.

【 授权许可】

Unknown