Pyogenic sacroiliitis in children

Clinical findings, roentgenograms, computed axial tomography (CT scan), radionuclide studies, and management are reviewed in seven children with pyogenic sacroiliitis (PS). High suspicion and complete examination of the pelvis and sacroiliac (SI) joint, including flexion, abduction, external rotatio...

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Bibliographic Details
Published inClinical orthopaedics and related research no. 287; p. 98
Main Authors Aprin, H, Turen, C
Format Journal Article
LanguageEnglish
Published United States 01.02.1993
Subjects
Adolescent
Arthritis, Infectious - complications
Arthritis, Infectious - diagnosis
Arthritis, Infectious - drug therapy
Bacterial Infections - complications
Bacterial Infections - diagnosis
Bacterial Infections - drug therapy
Child
Child, Preschool
Female
Fever - etiology
Humans
Male
Sacroiliac Joint - microbiology
Tomography, X-Ray Computed
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Summary:Clinical findings, roentgenograms, computed axial tomography (CT scan), radionuclide studies, and management are reviewed in seven children with pyogenic sacroiliitis (PS). High suspicion and complete examination of the pelvis and sacroiliac (SI) joint, including flexion, abduction, external rotation, and extension (FABERE) test, are essential for diagnosis. Although initial roentgenograms may be negative, CT scan will show changes indicating involvement of the SI joint. Sequential technetium and gallium scans are valuable in localizing PS. Blood cultures and direct aspiration of the SI joint will identify the infecting organism. Patients are initially treated with intravenous antibiotics. Surgical treatment is reserved for patients with advanced stage of PS.
ISSN:0009-921X
DOI:10.1097/00003086-199302000-00016