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Ultrasound can be very helpful for locating the puncture site. Both arthrocentesis and arthrotomy enable the joint to be washed out with normal saline.
Arthrocentesis has the advantage of being a less traumatic procedure and achieving more rapid patient recovery, and is associated with a faster decrease in C-reactive protein CRP, which could reduce the duration of IV antibiotic and length of stay in hospital.
Prompt performance of arthrocentesis, daily clinical assessment and repetition of the procedure when necessary with joint lavage are the keys to the success of this therapeutic approach.
In all these cases, the children should be admitted to a hospital with an experienced orthopaedic surgeon, to perform surgical treatment if necessary.
Arthrotomy This is the main advanced surgical procedure in the treatment of SA.