Unusual case of septic arthritis of the hip: spread from adjacent adductor pyomyositis.

Publication/Presentation Date

10-1-1999

Abstract

Distinguishing intracapsular and extracapsular hip infections may be clinically difficult. Because of this difficulty in diagnosis, the spread of an extracapsular infection into the hip joint may be missed and lead to significant joint destruction. The case of a patient who suffered from the spread of adductor pyomyositis to the hip joint is reported. The delay in diagnosis of an intracapsular hip infection led to significant intra-articular destruction and ultimately necessitated a Girdlestone resection arthroplasty. The patient's hip function was salvaged with a total hip arthroplasty. The presence of an extracapsular hip infection should mandate serial physical examinations and aggressive evaluation to rule out intracapsular spread. A delay in diagnosis of an intracapsular hip infection can lead to catastrophic results.

Volume

14

Issue

7

First Page

886

Last Page

891

ISSN

0883-5403

Disciplines

Medicine and Health Sciences

PubMedID

10537269

Department(s)

Department of Surgery

Document Type

Article

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