Journal of Bone and Joint Infection
Journal of Bone and Joint Infection
JBJI
Articles | Volume 9, issue 1
Articles | Volume 9, issue 1
https://doi.org/10.5194/jbji-9-27-2024
© Author(s) 2024. This work is distributed under
the Creative Commons Attribution 4.0 License.
https://doi.org/10.5194/jbji-9-27-2024
© Author(s) 2024. This work is distributed under
the Creative Commons Attribution 4.0 License.
Articles | Volume 9, issue 1
Original full-length article
 | 
02 Feb 2024
Original full-length article |  | 02 Feb 2024

Advanced imaging shows extra-articular abscesses in two out of three adult patients with septic arthritis of the native hip joint

Jordi Cools, Stijn Ghijselings, Fred Ruythooren, Sander Jentjens, Nathalie Noppe, Willem-Jan Metsemakers, and Georges Vles

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Cited articles

Arieli, M. M., Fowler, M. L., Lieber, S. B., Shmerling, R. H., and Paz, Z.: The profile of the causative organisms which lead to septic arthritis of native joints over the last two decades in a single tertiary medical center in the east coast of the United States. Int. J. Clin. Pract., 75, e15003, https://doi.org/10.1111/ijcp.15003, 2021. 
Baddour, L. M.: Pyomyositis, edited by: Spelman, D. and Hall, K. K., Up-to-date, https://sso.uptodate.com/contents/primary-pyomyositis (last access: 7 January 2023), 2022. 
Balato, G., de Matteo, V., Ascione, T., de Giovanni, R., Marano, E., Rizzo, M., and Mariconda, M.: Management of septic arthritis of the hip joint in adults. A systematic review of the literature, BMC Musculoskel. Dis., 22, 1006, https://doi.org/10.1186/s12891-021-04843-z, 2021. 
Carpenter, C. R., Schuur, J. D., Everett, W. W., and Pines, J. M.: Evidence-based diagnostics: adult septic arthritis, Academic emergency medicine, Official Journal of the Society for Academic Emergency Medicine, 18, 781–796, https://doi.org/10.1111/j.1553-2712.2011.01121.x, 2011. 
Casali, M., Lauri, C., Altini, C., Bertagna, F., Cassarino, G., Cistaro, A., Erba, A. P., Ferrari, C., Mainolfi, C. G., Palucci, A., Prandini, N., Baldari, S., Bartoli, F., Bartolomei, M., D'Antonio, A., Dondi, F., Gandolfo, P., Giordano, A., Laudicella, R., Massollo, M., and Signore, A.: State of the art of 18F-FDG PET/CT application in inflammation and infection: a guide for image acquisition and interpretation, Clinical and Translational Imaging, 9, 299–339, https://doi.org/10.1007/s40336-021-00445-w, 2021. 
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Short summary
Septic arthritis (SA) of the native adult hip is a rare orthopaedic emergency. To date, the role of advanced imaging has been confined to supporting or opposing diagnosis; however, implications for surgical decision-making and outcomes have not yet been established. We found that extra-articular abscesses are present in two out of three patients and require varying anatomical approaches. Therefore, we recommend routinely performing advanced imaging in all adults with SA of the native hip joint.
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