Bone & Joint Infections · NEET PG Preparation Orthopaedics
A 4-year-old child presents with an acute septic arthritis of the right hip joint, characterized by a painful, held-in-flexion, abduction, and extern…
Practice question from Bone & Joint Infections (NEET PG Preparation Orthopaedics), with the correct answer and a step-by-step solution.
medium · MCQ · Q-2A47BB
A 4-year-old child presents with an acute septic arthritis of the right hip joint, characterized by a painful, held-in-flexion, abduction, and external rotation posture. Which of the following is the most urgent and appropriate initial management?
- A.Immediate intravenous broad-spectrum antibiotics and observation for 48 hours
- B.Urgent surgical arthrotomy or arthroscopic washout combined with IV antibioticsCorrect answer
- C.Skin traction alone with oral anti-inflammatory medications
- D.Aspiration of the joint in the outpatient clinic and discharge on oral antibiotics
Solution
Septic arthritis of the hip is a true orthopedic emergency. Elevated intra-articular pressure and bacterial enzymes can rapidly destroy the articular cartilage and cause avascular necrosis of the femoral head. Urgent surgical decompression (arthrotomy/washout) along with IV antibiotics is mandatory.
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