[Subacute osteomyelitis of the acetabulum].
A 15-months-old girl presented an excentration of the hip associated with a defect image of the acetabulum. Arthrography revealed a communication between the hip joint and the acetabular defect. Bacteriological specimens of the articular fluid were negative. The radiographic images were compatible with subacute osteomyelitis. Relative immobilization using an Atlanta abduction devise was undertaken. No medical treatment was prescribed for this adolescent who had received antibiotics for polymicrobial urinary tract infections and for pharyngitis prior to detection of the orthopedic disorder. Outcome was satisfactory with progressive filling of the acetabular defect but also with development of a subluxating coxa valga which required varus osteotomy of the femur. This case appears to illustrate a particular form of subacute osteomyelitis which is not described in earlier classifications.
Viejo-Fuertes
D
D
Service de Chirurgie Orthopédique et de Traumatologie de l'Appareil Locomoteur, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, 1200 Bruxelles, Belgique.
Clapuyt
P
P
Staelens
J P
JP
Delronge
G
G
Lecouvet
F
F
Rombouts
J J
JJ
D000077:Acetabulum; D000208:Acute Disease; D005260:Female; D006801:Humans; D007223:Infant; D010019:Osteomyelitis / Q000175:diagnosis