Orthonotes
Orthonotes
by the.bonestories
v3.5 Fusion Pro
v3.5 Fusion Pro
Back to OrthoWeb
wiki general 15 verified links

Septic Arthritis — Pediatric vs Adult

Surgical emergency: cartilage can be destroyed within 24–48 hours; prompt drainage + antibiotics is critical. Children: hematogenous origin common; hip/knee frequent; Staphylococcus aureus predominant; use Kocher criteria for hip. Adults: knee most common; risks include IVDU, immunosuppression, prosthetic joint; consider gonococcal/septic bursitis mimics. Diagnosis hinges on aspiration (cell count >50,000–100,000 with PMN predominance), Gram stain/culture; CRP/ESR support; ultrasound detects hip...