Neonatal Osteomyelitis and Osteoarthritis: Clinical Presentation and Risk Factors

Original article


Aborawi A, Kamila El-Rafifi, Raba Ibrahim

Tripoli Children Hospital, Tripoli, Libya

JMJ Vol. 2. No.1 [March] 2002: 29-31


It is retrospective study of 103 patients with osteomyelitis and septic arthritis among 1665 neonatal admissions; data was taken from their medical files. The incidence is 62/1000 of neonatal admission. Males were 68 cases, females were35 cases, the male to female ratio was 1.9:1, term babies were 85%, and those of weight > 2.5 kg contributed to 13%. Only 84% were born at Aljala Maternity hospital, the others were born at different places.

The major antecedent factors are: 1) Septicaemia in 40% of the patients‚ 2) Perinatal asphyxia in 12%, 3) Neonatal jaundice 11%, 4) Respiratory distress 9%. Multiple joints were involved in 70%, the hip joint was the most commonly affected (79%). Pseudoparesis, and tenderness were present in 100% of the patients, and swelling was present in 75% of the cases. In conclusion the incidence is alarmingly high and calls for further study and best mode of management.

Keywords: Osteomyelitis, Septic arthritis