Coxitis
| Classification according to ICD-10 | |
|---|---|
| M00.05 | Purulent coxitis due to staphylococci |
| M00.15 | Purulent coxitis due to pneumococci |
| M00.25 | Purulent coxitis due to other streptococci |
| M00.85 | Purulent coxitis caused by other specified bacterial pathogens |
| M00.95 | Purulent arthritis, unspecified |
| M12.8 | Other specified arthropathies, not elsewhere classified |
| ICD-10 online (WHO version 2019) | |
The coxitis , German spelling koxitis , is an inflammation of the hip joint , from the Greek "koxa", compare arthritis .
As with any arthritis , the cause can be varied:
- Septic arthritis (purulent inflammation of the joints) caused by bacteria : The germs can have penetrated through an open wound or an operation or puncture (" iatrogenic "), through the bloodstream (" hematogenous "), or through an inflammation of the bone marrow ( osteomyelitis ) that penetrates the Hip joint has broken through. If adequate treatment with antibiosis , puncture and possibly surgical removal of the inflammation focus is not carried out immediately , this can lead to permanent damage to the joint. Coxarthrosis can develop as a long-term consequence of purulent coxitis .
- Rheumatoid arthritis (inflammation of the joints caused by rheumatism ) as a result of a rheumatic disease.
- Transient arthritis (fleeting joint effusion). Especially in preschool children, coxitis fugax , or “hip runny nose”, is relatively common , post-infectious after a mostly viral infection.
- Symptomatic arthritis (accompanying cast in the hip joint), as a side effect of an underlying disorder, e.g. B. in coxarthrosis (joint wear), Perthes disease (child's femoral head necrosis), femoral head necrosis , adolescent femoral head solution (epiphyseolysis), osteomyelitis or tumors of the bone or synovium. It is based on joint irritation with increased fluid formation.
- Specific arthritis in "specific" infections such as tuberculosis or syphilis.
The diagnosis and therapy do not differ from that of other inflammations of the joints ( arthritis ). At the hip joint, purulent arthritis occurs somewhat more frequently in infancy than in other joints.
A hip joint effusion can be shown very well in the ultrasound, as an accumulation of fluid on the femoral neck with a convexly raised joint mucosa. If acute arthritis cannot be explained in a sufficiently different way, a puncture is required to detect pathogens in the joint effusion (purulent arthritis) or to exclude. This puncture is particularly advisable if the patient has a fever and the inflammation parameters are significantly increased.
Individual evidence
literature
- U. Dörr: hip joint effusion . in: W. Schuster, D. Färber (Ed.): Children's radiology. Imaging diagnostics. Springer 1996, ISBN 3-540-60224-0
- M. Zieger: Sonography of the child's hip joint. Springer 1990, ISBN 3-540-51012-5
