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… 
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
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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.
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TLDR
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TLDR
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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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&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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