Clinical and Radiographic Outcomes and Treatment Algorithm for Septic Arthritis in Children
Background: Septic arthritis (SA) in children is an acute inflammatory disease of the joints. If not treated promptly, it could become a surgical emergency. The incidence of the disease in children in Europe is approximately 2–7 per 100,000 children. The aim of this systematic review was to investig...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-07-01
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| Series: | Journal of Personalized Medicine |
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| Online Access: | https://www.mdpi.com/2075-4426/13/7/1097 |
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| author | Alessia Caldaci Gianluca Testa Marco Simone Vaccalluzzo Andrea Vescio Ignazio Prestianni Ludovico Lucenti Claudia de Cristo Marco Sapienza Vito Pavone |
| author_facet | Alessia Caldaci Gianluca Testa Marco Simone Vaccalluzzo Andrea Vescio Ignazio Prestianni Ludovico Lucenti Claudia de Cristo Marco Sapienza Vito Pavone |
| author_sort | Alessia Caldaci |
| collection | DOAJ |
| description | Background: Septic arthritis (SA) in children is an acute inflammatory disease of the joints. If not treated promptly, it could become a surgical emergency. The incidence of the disease in children in Europe is approximately 2–7 per 100,000 children. The aim of this systematic review was to investigate which of these treatments—arthrocentesis, arthrotomy, and arthroscopy—provides better results in children and when to use them. Methods: Three independent authors conducted a systematic review of PubMed, ScienceDirect, and MEDLINE databases to assess studies with any level of evidence that reported the surgical outcome of SA. Two senior investigators evaluated and approved each stage’s findings. Results: A total of 488 articles were found. After screening, we chose 24 articles that were suitable for full-text reading based on the inclusion and exclusion criteria. The results of our analysis showed that there are no numerically significant differences reported in the literature on clinical and radiographic outcomes by surgical technique. Conclusions: We developed an algorithm that could be used if septic arthritis is suspected. Based on our results, the surgical technique to be used will depend on the operator who will perform it. |
| first_indexed | 2024-03-11T00:55:49Z |
| format | Article |
| id | doaj.art-87d91f161df946a4b1345393731dd94a |
| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-11T00:55:49Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-87d91f161df946a4b1345393731dd94a2023-11-18T20:03:32ZengMDPI AGJournal of Personalized Medicine2075-44262023-07-01137109710.3390/jpm13071097Clinical and Radiographic Outcomes and Treatment Algorithm for Septic Arthritis in ChildrenAlessia Caldaci0Gianluca Testa1Marco Simone Vaccalluzzo2Andrea Vescio3Ignazio Prestianni4Ludovico Lucenti5Claudia de Cristo6Marco Sapienza7Vito Pavone8Department of General Surgery and Medical Surgical Specialties, Section of Orthopaedics, A.O.U. Policlinico Rodolico-San Marco, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics, A.O.U. Policlinico Rodolico-San Marco, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics, A.O.U. Policlinico Rodolico-San Marco, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics, A.O.U. Policlinico Rodolico-San Marco, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics, A.O.U. Policlinico Rodolico-San Marco, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics, A.O.U. Policlinico Rodolico-San Marco, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics, A.O.U. Policlinico Rodolico-San Marco, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics, A.O.U. Policlinico Rodolico-San Marco, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics, A.O.U. Policlinico Rodolico-San Marco, University of Catania, 95123 Catania, ItalyBackground: Septic arthritis (SA) in children is an acute inflammatory disease of the joints. If not treated promptly, it could become a surgical emergency. The incidence of the disease in children in Europe is approximately 2–7 per 100,000 children. The aim of this systematic review was to investigate which of these treatments—arthrocentesis, arthrotomy, and arthroscopy—provides better results in children and when to use them. Methods: Three independent authors conducted a systematic review of PubMed, ScienceDirect, and MEDLINE databases to assess studies with any level of evidence that reported the surgical outcome of SA. Two senior investigators evaluated and approved each stage’s findings. Results: A total of 488 articles were found. After screening, we chose 24 articles that were suitable for full-text reading based on the inclusion and exclusion criteria. The results of our analysis showed that there are no numerically significant differences reported in the literature on clinical and radiographic outcomes by surgical technique. Conclusions: We developed an algorithm that could be used if septic arthritis is suspected. Based on our results, the surgical technique to be used will depend on the operator who will perform it.https://www.mdpi.com/2075-4426/13/7/1097arthrocentesisarthroscopyarthrotomyhipkneepediatric |
| spellingShingle | Alessia Caldaci Gianluca Testa Marco Simone Vaccalluzzo Andrea Vescio Ignazio Prestianni Ludovico Lucenti Claudia de Cristo Marco Sapienza Vito Pavone Clinical and Radiographic Outcomes and Treatment Algorithm for Septic Arthritis in Children Journal of Personalized Medicine arthrocentesis arthroscopy arthrotomy hip knee pediatric |
| title | Clinical and Radiographic Outcomes and Treatment Algorithm for Septic Arthritis in Children |
| title_full | Clinical and Radiographic Outcomes and Treatment Algorithm for Septic Arthritis in Children |
| title_fullStr | Clinical and Radiographic Outcomes and Treatment Algorithm for Septic Arthritis in Children |
| title_full_unstemmed | Clinical and Radiographic Outcomes and Treatment Algorithm for Septic Arthritis in Children |
| title_short | Clinical and Radiographic Outcomes and Treatment Algorithm for Septic Arthritis in Children |
| title_sort | clinical and radiographic outcomes and treatment algorithm for septic arthritis in children |
| topic | arthrocentesis arthroscopy arthrotomy hip knee pediatric |
| url | https://www.mdpi.com/2075-4426/13/7/1097 |
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