Skip to main content

Infectious Diseases in Hip Joint

  • Chapter
  • First Online:
Hip Surgery

Abstract

Suppurative arthritis refers to the joint suppurative inflammation caused by various pathogenic bacteria. Suppurative arthritis of the hip joint is a serious joint infection that often occurs in infants and adolescents. In recent years, the adult incidences of suppurative arthritis (especially in the elderly) are gradually increasing, account for more than 50% of suppurative arthritis, adults often occur in immunocompromised, alcoholism, diabetes, sickle cell anemia, lupus erythematosus, intravenous drug users, and rheumatoid arthritis. Due to the deep location of the hip joint and abundant surrounding muscles, children are often uncooperative for physical examination. The nerve that dominates the hip is multi-source. The symptoms vary widely, which often lead to misdiagnosis and mistreatment. If not recognized and treated properly the disease can cause stiffness of the joints and even disability.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Bibliography

  1. Al Saadi MM, Al Zamil FA, Bokhary NA, et al. Acute septic arthritis in children. Pediatr Int Official J Jpn Pediatr Soc. 2009;51(3):377–80.

    Article  Google Scholar 

  2. Arkun R. Parasitic and fungal disease of bones and joints. Semin Musculoskelet Radiol. 2004;8(3):231–42.

    Article  PubMed  Google Scholar 

  3. Arnold SR, Elias D, Buckingham SC, et al. Changing patterns of acute hematogenous osteomyelitis and septic arthritis: emergence of community-associated methicillin-resistant Staphylococcus aureus. J Pediatr Orthop. 2006;26(6):703.

    Article  PubMed  Google Scholar 

  4. Bean DC, Krahe D, Wareham DW. Antimicrobial resistance in community and nosocomial Escherichia coli urinary tract isolates, London 2005 – 2006. Ann Clin Microbiol Antimicrob. 2008;7(1):13.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  5. Belzunegui J, Gonzalez C, Lopez L, et al. Osteoarticular and muscle infectious lesions in patients with the human immunodeficiency virus. Clin Rheumatol. 1997;16(5):450–3.

    Article  CAS  PubMed  Google Scholar 

  6. Benzioni H, Shahar R, Yudelevitch S, et al. Bacterial infective arthritis of the coxofemoral joint in dogs with hip dysplasia. Vet Comp Orthop Traumatol. 2008;21(3):262–6.

    Article  CAS  PubMed  Google Scholar 

  7. Chan WC, Veraitch O, Radford W, et al. Chronic lymphoedema complicated by septic arthritis of the hip. Br J Dermatol. 2009;160(5):1130.

    Article  CAS  PubMed  Google Scholar 

  8. Colak M, Eskandari M M, Ersoz G, et al. Septic arthritis of the hip in relation with femoral neck fracture: a report of three cases. Orthopedics. 2008;31:83.

    Google Scholar 

  9. Coutlakis PJ, Roberts WN, Wise CM. Another look at synovial fluid leukocytosis and infection. J Clin Rheumatol Pract Rep Rheum Musculoskelet Dis. 2002;8(2):67–71.

    Google Scholar 

  10. De BH. Osteomyelitis and septic arthritis in children. Acta Orthopaedica Belgica. 2005;71(5):505–15.

    Google Scholar 

  11. Falagas ME, Giannopoulou KP, Ntziora F, et al. Daptomycin for treatment of patients with bone and joint infections: a systematic review of the clinical evidence. Int J Antimicrob Agents. 2007;30(3):202–9.

    Article  CAS  PubMed  Google Scholar 

  12. Falagas ME, Siempos II, Papagelopoulos PJ, et al. Linezolid for the treatment of adults with bone and joint infections. Int J Antimicrob Agents. 2007;29(3):233–9.

    Article  CAS  PubMed  Google Scholar 

  13. Orlin E, Milani C. Sequelae of septic arthritis of the hip in children: a new classification and a review of 41 hips. J Pediatr Orthop. 2008;28(5):524–8.

    Article  Google Scholar 

  14. Freed JF, Nies KM, Boyer RS, et al. Acute monoarticular arthritis. A diagnostic approach. JAMA. 1980;243(22):2314–6.

    Article  CAS  PubMed  Google Scholar 

  15. Gardam M, Lim S. Mycobacterial osteomyelitis and arthritis. Infect Dis Clin North Am. 2005;19(4):819–30.

    Article  PubMed  Google Scholar 

  16. Goergens E, Mcevoy A, Watson M, et al. Acute osteomyelitis and septic arthritis in children. J Paediatr Child Health. 2005;41(1–2):59.

    Article  CAS  PubMed  Google Scholar 

  17. Hearth M, Compson JP, Phillips S. Unrecognised septic arthritis following fracture of the proximal femur in patients awaiting surgery. Injury Int J Care Injured. 2002;33(5):457–9.

    Article  CAS  Google Scholar 

  18. Hugate Jr R, Pellegrini Jr VD. Reactivation of ancient tuberculous arthritis of the hip following total hip arthroplasty: a case report. J Bone Joint Sur Am. 2002;84 A(1):101.

    Article  Google Scholar 

  19. Jagodzinski NA, Kanwar R, Graham K, et al. Prospective evaluation of a shortened regimen of treatment for acute osteomyelitis and septic arthritis in children. J Pediatr Orthop. 2010;30(8):942.

    Google Scholar 

  20. Judd KT, Mckinley TO. Septic arthritis of the hip associated with supra-acetabular external fixation of unstable pelvic ring: a case report. Iowa Orthop J. 2009;29(29):124.

    PubMed  PubMed Central  Google Scholar 

  21. Kaandorp CJ, Dinant HJ, Ma VDL, et al. Incidence and sources of native and prosthetic joint infection: a community based prospective survey. Ann Rheum Dis. 1997;56(8):470–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Kamiński A, Muhr G, Kutscha-Lissberg F. Modified open arthroscopy in the treatment of septic arthritis of the hip. Ortopedia Traumatologia Rehabilitacja. 2007;9(6):599.

    Google Scholar 

  23. Kohli R, Hadley S. Fungal arthritis and osteomyelitis. Infect Dis Clin North Am. 2005;19(4):831.

    Article  PubMed  Google Scholar 

  24. Li SF, Henderson J, Dickman E, et al. Laboratory tests in adults with monoarticular arthritis: can they rule out a septic joint? Acad Emerg Med. 2004;11(3):276–80.

    Article  PubMed  Google Scholar 

  25. Lin KC, Liang CD, Yang KD, et al. Monoarticular septic arthritis in a patient with juvenile rheumatoid arthritis under etanercept treatment. Rheumatol Int. 2012;32(5):1383–5.

    Article  PubMed  Google Scholar 

  26. Loveday HP, Pellowe CM, Jones SR, et al. A systematic review of the evidence for interventions for the prevention and control of meticillin-resistant Staphylococcus aureus (1996-2004): report to the Joint MRSA Working Party (Subgroup A). J Hosp Infect. 2006;63(1):S45–70.

    Article  PubMed  Google Scholar 

  27. Margaretten ME, Kohlwes J, Dan M, et al. Does this adult patient have septic arthritis? JAMA. 2007;297(13):1478.

    Article  CAS  PubMed  Google Scholar 

  28. Solal JC, Bréville P, Desplaces N. Septic arthritis of the hip with Propionibacterium avidum bacteremia after intraarticular treatment for hip osteoarthritis. Joint Bone Spine Revue Du Rhumatisme. 2008;75(3):356–8.

    Article  Google Scholar 

  29. Muñoz-Mahamud E, Pons M, Matamala A, et al. Hematogenous septic arthritis of the hip in adult patients. Am J Emerg Med. 2012;30(4):630.

    Article  PubMed  Google Scholar 

  30. Naithani R, Rai S, Choudhry VP. Septic arthritis of hip in a neutropenic child caused by Salmonella typhi. J Pediatr Hematol Oncol. 2008;30(2):182–4.

    Article  PubMed  Google Scholar 

  31. Nilsson IM, Patti JM, Bremell T, et al. Vaccination with a recombinant fragment of collagen adhesin provides protection against Staphylococcus aureus-mediated septic death. J Clin Invest. 1998;101(12):2640–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Ogonda L, Bailie G, Wray AR. Acute osteomyelitis of the ilium mimics septic arthritis of the hip in children. Ulster Med J. 2003;72(2):123–5.

    CAS  PubMed  PubMed Central  Google Scholar 

  33. Peravali R, Purohit N, Dutta S, et al. Septic arthritis of the hip: a rare complication of fistulizing Crohn’s disease. Colorectal Dis. 2009;11(3):323.

    Article  CAS  PubMed  Google Scholar 

  34. Raz G, Ofiram E, Arieli I, et al. Disseminating septic arthritis following hip hemiarthroplasty. Isr Med Assoc J. 2009;11(5):317–8.

    PubMed  Google Scholar 

  35. Garcíaarias M, Balsa A, Mola EM. Septic arthritis. Best Pract Res Clin Rheumatol. 2011;25(3):407–21.

    Article  Google Scholar 

  36. Ross JJ, Davidson L. Methicillin-resistant Staphylococcus aureus septic arthritis: an emerging clinical syndrome. Rheumatology. 2005;44(9):1197–8.

    Article  CAS  PubMed  Google Scholar 

  37. Rutz E, Brunner R. Septic arthritis of the hip - current concepts. Hip Int 2009;19 Suppl 6(1):S9–12.

    Google Scholar 

  38. Rutz E, Spoerri M. Septic arthritis of the paediatric hip—a review of current diagnostic approaches and therapeutic concepts. Acta Orthopaedica Belgica. 2013;79(2):123–34.

    PubMed  Google Scholar 

  39. Saedon M, Shore S, Hanafy M. Image of the month. Septic arthritis. Arch Surg. 2008;143(9):913–4.

    Article  PubMed  Google Scholar 

  40. Sauer ST, Farrell E, Geller E, et al. Septic arthritis in a patient with juvenile rheumatoid arthritis. Clin Orthop Relat Res. 2004;418(418):219–21.

    Article  Google Scholar 

  41. Schelenz S, Bramham KD. Septic arthritis due to extended spectrum beta lactamase producing Klebsiella pneumoniae. Joint Bone Spine. 2007;74(3):275–8.

    Article  PubMed  Google Scholar 

  42. Smith JW, Chalupa P, Shabaz HM. Infectious arthritis: clinical features, laboratory findings and treatment. Clin Microbiol Infect. 2006;12(4):309–14.

    Article  CAS  PubMed  Google Scholar 

  43. Stengel D, Bauwens K, Sehouli J, et al. Systematic review and meta-analysis of antibiotic therapy for bone and joint infections. Lancet Infect Dis. 2001;1(3):175.

    Article  CAS  PubMed  Google Scholar 

  44. Sucato DJ, Schwend RM, Gillespie R. Septic arthritis of the hip in children. J Am Acad Orthop Surg. 1997;5(5):249.

    Article  CAS  PubMed  Google Scholar 

  45. Tarkin IS, Dunman PM, Garvin KL. Improving the treatment of musculoskeletal infections with molecular diagnostics. Clin Orthop Relat Res. 2005;437(437):83–8.

    Article  Google Scholar 

  46. Iii HCT, Lachiewicz PF. The influence of technique on fixation of primary total hip arthroplasty in patients with rheumatoid arthritis. J Arthroplasty. 2001;16(5):628–34.

    Article  Google Scholar 

  47. Tutar E, Atalay S, Yilmaz E, et al. Poststreptococcal reactive arthritis in children: is it really a different entity from rheumatic fever? Rheumatol Int. 2002;22(2):80–3.

    Article  PubMed  Google Scholar 

  48. Ventura G, Gasparini G, Lucia MB, et al. Osteoarticular bacterial infections are rare in HIV-infected patients. 14 cases found among 4,023 HIV-infected patients. Acta Orthopaedica Scandinavica. 1997;68(6):554–8.

    Article  CAS  PubMed  Google Scholar 

  49. Verdrengh M, Carlsten H, Ohlsson C, et al. Addition of bisphosphonate to antibiotic and anti-inflammatory treatment reduces bone resorption in experimental Staphylococcus aureus-induced arthritis. J Orthop Res. 2007;25(3):304–10.

    Article  CAS  PubMed  Google Scholar 

  50. Yang SH, Yang RS, Tsai CL. Septic arthritis of the hip joint in cervical cancer patients after radiotherapy: three case reports. J Orthop Surg. 2001;9(2):41.

    Article  Google Scholar 

  51. Rd YS, Perry JJ, Rd KT, et al. Hematogenous septic arthritis of the adult hip. Orthopedics. 2003;26(8):771.

    Article  Google Scholar 

  52. Babhulkar S, Pande S. Tuberculosis of the hip. Clin Orthop Relat Res. 2002;93–9.

    Google Scholar 

  53. Steyn M, Scholtz Y, Botha D, et al. The changing face of tuberculosis: trends in tuberculosis-associated skeletal changes. Tuberculosis (Edinburgh, Scotland). 2013;93:467–74.

    Article  Google Scholar 

  54. Saraf SK, Tuli SM. Tuberculosis of hip: a current concept review. Indian J Orthop. 2015;49:1–9.

    Article  PubMed  PubMed Central  Google Scholar 

  55. Chen ST, Zhao LP, Dong WJ, et al. The clinical features and bacteriological characterizations of bone and joint tuberculosis in China. Sci Rep. 2015;5:11084.

    Article  PubMed  PubMed Central  Google Scholar 

  56. Titov AG, Vyshnevskaya EB, Mazurenko SI, et al. Use of polymerase chain reaction to diagnose tuberculous arthritis from joint tissues and synovial fluid. Arch Pathol Lab Med. 2004;128:205–9.

    Article  PubMed  Google Scholar 

  57. Kim SJ, Postigo R, Koo S, et al. Total hip replacement for patients with active tuberculosis of the hip: a systematic review and pooled analysis. Bone Joint J. 2013;95-b:578–82.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Changqing Zhang .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Singapore Pte Ltd. and Shanghai Scientific and Technical Publishers

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Guan, J., Li, G., Zhang, C. (2021). Infectious Diseases in Hip Joint. In: Zhang, C. (eds) Hip Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-15-9331-4_9

Download citation

  • DOI: https://doi.org/10.1007/978-981-15-9331-4_9

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-15-9330-7

  • Online ISBN: 978-981-15-9331-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics