Septic Arthritis in Children

Septic Arthritis needs to be higher on your differential than Toxic Synovitis - Sean M Fox

Septic Arthritis in Children
Septic Arthritis in Children

image by: Leisa Cutler

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Acute limping in children

So how can one differentiate between transient synovitis and septic arthritis?

Clinical exam – this is the most important differentiator. Children with septic arthritis look sick. They are unwell, tired, possibly lethargic and will do very little activity. With transient synovitis, parents may report limping as the only ‘new’ finding, as the child will likely be active, alert, feed and in general – will look well.

Physical examination – Examination in young, non-cooperative children, is always challenging. When the child is cooperative, he or she may have limited range of motion (mostly internal rotation of the hip), and with septic arthritis…

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 Acute limping in children

When children with a limp present to you, always consider the possibility of septic arthritis.

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