The role of ultrasound in differentiating septic arthritis from transient synovitis of the hip in children

@article{Zamzam2006TheRO,
  title={The role of ultrasound in differentiating septic arthritis from transient synovitis of the hip in children},
  author={Mohamed M. Zamzam},
  journal={Journal of Pediatric Orthopaedics B},
  year={2006},
  volume={15},
  pages={418-422}
}
  • M. Zamzam
  • Published 1 November 2006
  • Medicine
  • Journal of Pediatric Orthopaedics B
A total of 154 children admitted with septic arthritis (n=81) or transient synovitis (n=73) were studied retrospectively. Ultrasound findings for 127 patients were correlated with the final diagnosis. Sensitivity, specificity and positive predictive value of ultrasound for the diagnosis of pediatric septic hip were 86.4, 89.7 and 87.9%, respectively. Unsatisfactory outcome occurred more significantly in children, for whom treatment was initiated more than 4 days after the onset of symptoms and… 
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101 Citations
Highly Influential Citations
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101 Citations

Clinical and Radiological Differentiation of Septic Arthritis and transient Synovitis of the Hip tWY
Objective: To distinguish septic arthritis (SA) and transient synovitis (TS) of the hip based on clinical, laboratory, and imaging parameters. Methods: Hospital records of all paediatric patients…
Differential MRI findings of transient synovitis of the hip in children when septic arthritis is suspected according to symptom duration
TLDR
The significances of differential MRI findings for septic arthritis and transient synovitis seem to change according to symptom duration, which may correlate with disease progression, and it is suggested that symptom duration should also be considered when interpreting MRIs of children under suspicion of septicthritis.
Transient synovitis of the hip: which investigations are truly useful?
TLDR
The results suggest that most investigations performed during the initial work-up in patients suspected transient synovitis of the hip are unnecessary and should routinely include only white blood cell count, C-reactive protein, erythrocyte sedimentation rate, and hip radiography and ultrasonography.
Role of ultrasonography in diagnosis of septic arthritis of hip in infants.
TLDR
Ultrasonography is an effective primary imaging modality in early detection of septic arthritis of hip in infants and line of clinical management can be confidently decided on sonographic diagnosis.
Septic arthritis of the paediatric hip - A review of current diagnostic approaches and therapeutic concepts.
TLDR
Finnish current literature proposes to reduce the aggressiveness of the treatment of SA, at least in previously healthy children with a short medical history (less than 5 days) : antibiotic therapy of less than two weeks and avoidance of a surgical intervention, apart from a diagnostic needle aspiration, might be justifiable in these cases.
False-negative joint aspiration of septic arthritis of the hip in neonates
TLDR
It is suggested that the absence of aspirable fluid contents in the hip joint does not rule out septic arthritis in neonates, and the importance of considering spontaneous hip joint capsular perforation as the cause of extra-articular drainage of pus and instability.
Septic Arthritis in Infants Younger Than 3 Months: A Retrospective Review.
TLDR
White blood cell count, C-reactive protein level, and erythrocyte sedimentation rate are likely to be elevated, but these findings should be used in combination with findings on physical examination and radiographic studies to aid in diagnosis.
Evaluation of Hip Pain and Management of Toxic Synovitis in the Ultrasound Era.
TLDR
Differential diagnosis of hip pain, with a focus on toxic synovitis; the evaluation of a hip for the presence of effusion, including the point-of-care ultrasound technique; and the management of toxicsynovitis are reviewed.
Transient synovitis of the hip : is systematic radiological screening necessary for the detection of Perthes disease?
TLDR
A follow-up X-ray to exclude Perthes disease after a diagnosis of transient hip synovitis appears to be necessary only in patients with persistent or recurrent symptomatology.
Hip Pain in Children, a Diagnostic Challenge: Transient Synovitis or SepticArthritis in Early Stage?
TLDR
Differential diagnosis of hip pain in a limping child includes a wide spectrum of pathological conditions, some of which require urgent investigation and treatment.
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References

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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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&NA; Recent advances in the management of septic arthritis of the hip in children include a better understanding of the effects of infection on articular cartilage; improvements in diagnostic tests,…
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