Characteristics of clinical manifestation of acute haematogenous osteomyelitis of the bones of the hip joint in children

Abstract

Aim. To study the characteristics of the clinical manifestations of acute haematogenous osteomyelitis of the hip bones in children.
Material and methods. The clinical features of acute osteomyelitis of the hip joint were studied in 90 children aged between 2 and 16 years during 2017-2023. In the early stages of the disease, 9 (10.0%) patients were admitted before 3 days after the onset of the disease, and 81 (90.0%) patients were admitted later than 3 days. The proximal femoral metaepiphysis was involved in 78 (86.7%) cases, the iliac bones in 10 (11.1%), the pubic bone in 1 (1.1%) and the sacroiliac joint in 1 (1.1%).
Results and discussion. Examining the clinical picture of the disease, the main symptoms were: pain in the affected area - 87 (96.7%) patients, sometimes with pain radiating to nearby areas of the body, fever - 83 (92.2%), forced position of the affected limb with refusal to walk - 79 (88.8%), and limping in 11 (12.2%) patients. In addition, purulent leakage was observed in 2 cases, in the left pubic bone lesion purulent leakage was observed in the area of the inner surface of the left thigh and in the iliac bone lesion in the iliopsoas muscle.
Conclusions. Acute haematogenous osteomyelitis of the bones of the hip joint in children usually begins acutely against the background of a healthy condition of the child with a triad of symptoms: pain, increase in body temperature, forced position of the limb. Local symptoms of the disease depend on the location of the primary focus, the degree of involvement of joints and soft tissues in the process.