Septic arthritis of the hip in patients with femoral head osteonecrosis

被引：7

作者：

Lee, Young-Kyun ^{[1
]}

Lee, Yun Jong ^{[2
]}

Ha, Yong-Chan ^{[3
]}

Kim, Ki-Choul ^{[4
]}

Koo, Kyung-Hoi ^{[1
]}

机构：

[1] Seoul Natl Univ, Coll Med, Dept Orthoped Surg, Bundnag Hosp, Songnam 463707, Gyeonggi Do, South Korea

[2] Seoul Natl Univ, Coll Med, Dept Internal Med, Bundnag Hosp, Songnam 463707, Gyeonggi Do, South Korea

[3] Chung Ang Univ, Dept Orthoped Surg, Coll Med, Seoul 156756, South Korea

[4] Pohang St Marys Hosp, Dept Orthopaed Surg, Nam Gu 790825, Pohang Si, South Korea

来源：

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY | 2011年 / 131卷 / 11期

关键词：

Septic arthritis; Osteonecrosis; Hip; Femoral head; AVASCULAR NECROSIS; DIAGNOSIS; BONE;

D O I：

10.1007/s00402-011-1334-1

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Septic hip is rare in patients with femoral head osteonecrosis (FHON) and has been known to occur in those who are immune compromised. Thus, surgeons do not concern about the superimposed septic hip in immunocompetent patients. We report five patients who had FHON and concomitant septic arthritis of the hip. No patients were immune compromised. All patients had an elevation of ESR and CRP. Two patients had an otherwise unexplained fever preoperatively. Two patients had had a remote septic focus. When a patient with FHON has an unexplained elevation of ESR and CRP, concomitant septic arthritis of the hip should be suspected even though the patient is not immune compromised.

引用

页码：1585 / 1590

页数：6

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