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.
Cieslak
Theodore J
TJ
San Antonio Military Pediatric Center, San Antonio, TX, USA. Ted.Cieslak@amedd.army.mil
Rajnik
Michael
M
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