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Journal of Children's Orthopaedics
Published in: Journal of Children's Orthopaedics 5/2007

01-11-2007 | Original Clinical Article

Pseudoparalysis in the Pavlik Harness: beware of septic arthritis

Authors: Andrew J. Stevenson, Sandeep B. Shewalle, Nicholas M. P. Clarke

Published in: Journal of Children's Orthopaedics | Issue 5/2007

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Abstract

Purpose

Pseudoparalysis of the leg occurring during use of the Pavlik Harness (PH) is a seldom-reported condition. Three cases of pseudoparalysis are reported here to illustrate the need for careful assessment of this condition.

Methods

A series of patients using the PH and presenting with pseudoparalysis was compiled following a retrospective review of case notes.

Results

In 3 cases, infants treated for developmental dysplasia of the hip using the PH were found to have developed a pseudoparalysis of the affected limb. All presented with similar signs, with the infant being systemically irritable and reluctant to move the limb. In 2 of the cases, this was related to the harness—its removal resulted in recovery of the affected limb. The third case was proven to be septic arthritis, unrelated to the harness, and treatment by means of arthrotomy, intravenous antibiotics and use of the PH for hip stabilisation was used successfully. In the first two cases, the pseudoparalysis was noticed at routine review clinic, and clinical assessment, ultrasound scan and blood tests were performed. The case of septic arthritis was similarly assessed, following referral by paediatric physicians.

Conclusion

Pseudoparalysis in the PH is a rare event and requires careful investigation.
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Metadata
Title
Pseudoparalysis in the Pavlik Harness: beware of septic arthritis
Authors
Andrew J. Stevenson
Sandeep B. Shewalle
Nicholas M. P. Clarke
Publication date
01-11-2007
Publisher
Springer Berlin Heidelberg
Published in
Journal of Children's Orthopaedics / Issue 5/2007
Print ISSN: 1863-2521
Electronic ISSN: 1863-2548
DOI
https://doi.org/10.1007/s11832-007-0052-2

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