The swollen joint

Important points in history

Important points on examination

Relevant investigations

Indications for admission

Unless obvious history of sprain or minor trauma admit for investigation and observation.

Causative Organisms


Peak age 2 yrs, unwell febrile child & reduced Range of movement of joint N.b. If in shoulder of infant or if child is malnourished and anaemic, usually Salmonellae spp


Any age especially neonates, fever, bone pain, reduced limb movement NB Tuberculosis

Treatment of Septic Arthritis and Osteomyelitis

Medical Treatment for both conditions

Surgical Treatment:

Other treatment:

Post surgery need physiotherapy and early mobilization to prevent stiffness and preserve function when pain free.

Treatment of Congenital Syphilis

Supportive Care


NB Orthopaedic surgeons


All children admitted with joint or possible bone infection need follow up either in the general clinic or in case of septic arthritis or osteomyelitis in the paeds ortho clinic on Thursday morning at Paeds A&E clinic rooms. Chronic osteomyelitis usually refered to CURE for elective surgery.