Bennett and Namnyak classified the outcome following therapy for acute septic arthritis of the hip joint in children. This can help determine the effectiveness of the therapy and the need for additional interventions. The authors are from Dammam Central Hospital in Saudi Arabia.
Outcome measures:
(1) clinical
(2) anatomic
Clinical Classification
Clinical measures:
(1) ability to play
(2) aching
(3) range of motion
(4) limb-length discrepancy
Ability to Play |
Aching |
Range of Motion |
Limb Length Discrepancy |
Outcome |
normal |
none |
full |
none |
excellent |
normal |
occasional |
slight limitation |
none |
good |
impaired |
aches after exercise |
limitation |
measurable |
fair |
markedly reduced |
aches at rest |
marked limitation |
measurable |
poor |
Patients who are classified as excellent or good do not need to modify their activities.
Anatomic Classification
Outcome |
Anatomic Features |
excellent |
unable to distinguish affected hip from normal hip |
good |
minimal distortion of the trabeculae |
fair |
coxa magna with or without shortening and thickening of the femoral neck; coxa valga or vara |
poor |
narrowing of the joint space, avascular necrosis of the capital femoral epiphysis, or complete destruction of the joint |
Specialty: Infectious Diseases, Surgery, orthopedic