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Description

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

 


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