Fetal breech presentation predisposes to subsequent development of septic arthritis of the hip.
We postulated a link between breech presentation and septic arthritis of the hip. To examine the potential association between these 2 relatively uncommon entities, we used the Patient Administration Systems and Biostatistics Activity (PASBA) database, which contains coded information derived from hospitalizations and ambulatory encounters at U.S. military hospitals worldwide. Among a cohort of nearly 1 million infants born in a 14-year period, 3.37% were found to be in the breech presentation. The rate of septic arthritis of the hip or pelvis during the first year of life among these breech infants was approximately 1/8000, providing a relative risk of 4.1 (95% confidence interval, <1.4-11.7) compared with the rate among nonbreech infants. Fetal breech presentation predisposes to the development of septic hip during the first year of life.
San Antonio Military Pediatric Center, San Antonio, TX, USA. Ted.Cieslak@amedd.army.mil
Theodore J
TJ
Cieslak
Michael
M
Rajnik
D001170:Arthritis, Infectious / Q000453:epidemiology* / Q000382:microbiology; D001946:Breech Presentation; D002648:Child; D002675:Child, Preschool; D016208:Databases, Factual; D005260:Female; D006615:Hip / Q000382:microbiology*; D006772:Hospitals, Military; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D011247:Pregnancy; D012307:Risk Factors; D013781:Texas