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September 25, 1954


Author Affiliations

Los Angeles

From the Kings County Hospital Center, Brooklyn, N. Y.; Staff member of the Kings County Orthopedic Surgery Service and the Surgical Service of New York State University, College of Medicine, Division of Orthopedic Surgery.

JAMA. 1954;156(4):303-307. doi:10.1001/jama.1954.02950040009003

The occurrence of acute suppurative arthritis of the hip in newborn infants is a pediatric emergency that is seen infrequently but presents a very serious and urgent problem when it occurs. Too often an early diagnosis is not made, and irreparable damage to the hip joint has taken place before the seriousness of the illness is fully understood. In the past two decades the advent of antibiotics has considerably reduced the incidence of septic lesions of the joints and osteomyelitis in children; however, as Blanche1 recently showed, the frequency of osteomyelitis in infants under 1 year of age has not been reduced, despite the most modern and up-to-date facilities, drugs, and care. A critical analysis of the failure of modern medicine to show favorable advances in the incidence of pyogenic arthritis and osteomyelitis in infants should be made. The purpose of this paper is to illustrate the extreme necessity

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