Paediatric Orthopaedics And Rheumatology

Question 1

When is septic arthritis most common?

Answer 1

Younger than 4 years old

Question 2

Is septic arthritis an emergency?

Answer 2

Yes, the infection can quickly lead to destruction of the joint and cause serious systemic illness

Question 3

How will septic arthritis present?

Answer 3

Mono arthritis with erythema, calor and pain.
Refusal to weight bear, stiffness and reduced range of movement
Systemically unwell- pyrexia

Question 4

What is the most common causative organism of septic arthritis?

Answer 4

Staphylococcus aureus

Question 5

What should we do with a joint fluid sample if septic arthritis is a potential differential?

Answer 5

Send the sample for gram staining, crystal microscopy, culture and sensitivity

Question 6

What is the most common cause of hip pain in children aged 3-10 years old?

Answer 6

Transient synovitis

Question 7

What is a SUFE?

Answer 7

Slipped upper femoral epiphysis, were the head of the femur is displaced along the growth plate

Question 8

If an adolescent, obese male undergoing a growth spurt presents with hip/groin pain following minor trauma that triggered these symptoms, with the pain being unproportional to severity of injury. What would be the most likely differential diagnosis?

Answer 8

Slipped upper femoral epiphysis

Question 9

What is the typical age range where transient synovitis occurs?

Answer 9

3-8 years