{
  "abstract": "Septic arthritis (SA) in children is a medical emergency that may lead to serious complications, including damage to the growth plate and long-term functional impairment. One of the rarest but most significant complications is physeal slip, particularly in non-ambulatory children with underlying neurological disorders. Early recognition is often challenging due to atypical clinical presentations, especially in patients with altered muscle tone or global developmental delay. This report highlights the diagnostic and therapeutic considerations in a case of distal femoral physeal separation secondary to SA in a neurologically impaired pediatric patient. The absence of classic symptoms such as fever, erythema, or warmth may delay clinical suspicion. Imaging modalities, including radiographs and ultrasound, are critical in identifying joint effusion and physeal disruption. Laboratory markers such as elevated erythrocyte sedimentation rate and C-reactive protein can support the diagnosis. Definitive management requires urgent surgical drainage and debridement, stabilization of the physis, and a prolonged course of targeted intravenous antibiotics. This case underscores the importance of early multidisciplinary evaluation in high-risk populations. Prompt diagnosis and timely intervention are essential to prevent long-term complications such as deformity, joint instability, or growth disturbance.",
  "abstract_shown": true,
  "affiliations": [
    "Central Institute of Orthopaedics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Sandeep Kumar",
      "orcid": "0009-0006-9214-3739"
    },
    {
      "affs": [
        0
      ],
      "name": "Narendra Kumar"
    },
    {
      "affs": [
        0
      ],
      "name": "Mohit Patralekh",
      "orcid": "0000-0003-0265-6540"
    },
    {
      "affs": [
        0
      ],
      "name": "Karan Maggo",
      "orcid": "0000-0001-7769-6948"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/66ybe5xwacjtf.bib",
  "cited_by": 0,
  "doi": "10.13107/jocr.2026.v16.i11.8462",
  "fulltext_url": "https://europepmc.org/articles/PMC13741000",
  "id": "66ybe5xwacjtf",
  "issns": [
    "2250-0685",
    "2321-3817"
  ],
  "landing_url": "https://europepmc.org/article/MED/42997073",
  "language": "eng",
  "licence": "CC-BY-NC",
  "licence_label": "CC BY-NC",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2746|Orthopedic Infections and Treatments"
    ]
  ],
  "openalex": "W7225570157",
  "pdf_url": "https://europepmc.org/articles/PMC13741000?pdf=render",
  "pmcid": "PMC13741000",
  "pmid": "42997073",
  "published": "2026-11-01",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/66ybe5xwacjtf.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T15:20:34Z",
      "native_id": "MED:42997073",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42997073"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Orthopedic Infections and Treatments",
      "subfield": "surgery"
    }
  ],
  "title": "Septic Arthritis Complicating Growth Plate Integrity in Pediatric Cerebral Palsy: A Rare Presentation.",
  "title_text": "Septic Arthritis Complicating Growth Plate Integrity in Pediatric Cerebral Palsy: A Rare Presentation.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T15:20:34Z",
  "url": "https://research.draconitic.com/paper/66ybe5xwacjtf",
  "venue": "Journal of orthopaedic case reports",
  "versions": []
}