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Bilateral Septic Hip Epiphyseal Detachment in Children: A Case Report and Review of the Literature

Volume 7 | Issue 2 | May-August 2021 | Page: 20-23 | Ferdinand Nyankoue Mebouinz, Serge Etoundi Bekoé, Rose Bengono, Bertine Manuela Ndjeunga, Cathy Bebey Engome, Fabrice Arroye Betou Authors: Ferdinand Nyankoue Mebouinz [1], Serge Etoundi Bekoé [1], Rose Bengono [1], Bertine Manuela Ndjeunga [2], Cathy Bebey Engome [3], Fabrice Arroye Betou [4] [1] Department of […]

Mitten deformity

Volume 7 | Issue 1 | January-April 2021 | Page: 27 | Yashdeep Singh Pathania Authors: Yashdeep Singh Pathania MD [1] [1] Department of Dermatology, Venereology and Leprology, All India Institute of Medical Sciences, Jodhpur 342005, India. Address of Correspondence Dr. Yashdeep Singh Pathania Senior Resident, Department of Dermatology, Venereology and Leprology, All India Institute […]

Bilateral Septic Hip Epiphyseal Detachment in Children: A Case Report and Review of the Literature

Mitten deformity

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Bilateral Septic Hip Epiphyseal Detachment in Children: A Case Report and Review of the Literature

Volume 7 | Issue 2 | May-August 2021 | Page: 20-23 | Ferdinand Nyankoue Mebouinz, Serge Etoundi Bekoé, Rose Bengono, Bertine Manuela Ndjeunga, Cathy Bebey Engome, Fabrice Arroye Betou

Authors: Ferdinand Nyankoue Mebouinz [1], Serge Etoundi Bekoé [1], Rose Bengono [1], Bertine Manuela Ndjeunga [2], Cathy Bebey Engome [3], Fabrice Arroye Betou [4]

[1] Department of Orthopaedic Trauma Surgery, Aristide Le Dantec Hospital, Cheikh Anta Diop University, Dakar, Senegal.
[2] Obstetrics Gynecology Clinic, Aristide Le Dantec Hospital, Cheikh Anta Diop University, Dakar, Senegal.
[3] Albert Royer Children’s Hospital University teaching Hospital of Fann, Cheikh Anta Diop University, Dakar,Senegal.
[4] Department of Cardiovascular and Thoracic Surgery, University teaching Hospital of Fann, Cheikh Anta Diop University, Dakar, Senegal.

Address of Correspondence
Dr Ferdinand Nyankoue Mebouinz,
Estrada do Forte do Alto Duque, 1449-005, Lisbon.
E-mail: ferdinandmebouinz@gmail.com

Abstract

Background: Diagnosed and treated fairly early, children’s septic arthritis of the hip has few or no complications. Septic epiphyseal detachment of the hip in children is a rare complication due to delayed treatment. Unilateral forms have been reported, but bilateral involvement has never been described in the literature.
Case presentation: We report the case of an 8-year-old girl who presented with hip pain associated fever and diminished lower limb movements, approximately 4 months after the onset of symptoms. The diagnosis of bilateral septic epiphyseal detachment of the hips was made and computerized tomography (CT) scan revealed osteonecrosis of both femoral heads. The necrotic epiphyses required removal in order to control the infection.
Conclusion: This report highlights the importance of early diagnosis of septic arthritis of the hip in the neonatal period. Any delay in presentation, diagnosis or management can result in irrecoverable sequelae for the developing hip and seriously impact long-term function.
Keywords: Septic arthritis, Bilateral, Epiphysis detachment, Hip, Ablation.

References

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How to Cite this Article: Mebouinz FN, Bekoé SE, Bengono R, Ndjeunga BM, Engome CB, Betou FA | Bilateral Septic Hip Epiphyseal Detachment in Children: A Case Report and Review of the Literature |
International Journal of Paediatric Orthopaedics | May-August 2021; 7(2): 20-23.

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Mitten deformity

Volume 7 | Issue 1 | January-April 2021 | Page: 27 | Yashdeep Singh Pathania

Authors: Yashdeep Singh Pathania MD [1]

[1] Department of Dermatology, Venereology and Leprology, All India Institute of Medical Sciences, Jodhpur 342005, India.

Address of Correspondence
Dr. Yashdeep Singh Pathania
Senior Resident, Department of Dermatology, Venereology and Leprology, All India Institute of Medical Sciences, Jodhpur 342005, India.
Email: yashdeepsinghpathania@gmail.com

A 10-year-old boy, a known case of severe recessive dystrophic epidermolysis bullosa since childhood, presented with widespread scarring over scalp, face, upper and lower limbs. Hands and feet showed flexion contracture, anonychia. There was fusion of digits of the feet by a thin membrane of scar tissue producing pseudosyndactyly, known as mitten deformity (Figure 1). In pseudosyndactyly, digits are fused together by thin membrane and involve only the distal portion of digits, which can be released through surgery where as in syndactyly actual and complete fusion of digits occur and involve base of the digits.

Figure: Scarring over legs with flexion contracture and pseudosyndactyly of foot.

How to Cite this Article: Singh Pathania Y | Mitten deformity | International Journal of Paediatric Orthopaedics | January-April 2021; 7(1): 27.

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Bilateral Septic Hip Epiphyseal Detachment in Children: A Case Report and Review of the Literature

Mitten deformity

Bilateral Septic Hip Epiphyseal Detachment in Children: A Case Report and Review of the Literature

Mitten deformity

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Bilateral Septic Hip Epiphyseal Detachment in Children: A Case Report and Review of the Literature

Authors: Ferdinand Nyankoue Mebouinz [1], Serge Etoundi Bekoé [1], Rose Bengono [1], Bertine Manuela Ndjeunga [2], Cathy Bebey Engome [3], Fabrice Arroye Betou [4]

Abstract

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Mitten deformity

Authors: Yashdeep Singh Pathania MD [1]

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