Heterogeneous Knee Effusions on Point-of-Care Ultrasound in a Toddler Diagnosed With Juvenile Idiopathic Arthritis

Point-of-care musculoskeletal ultrasound can provide information about joint effusions and the quality of the effusion. This case report describes the findings of a previously healthy pediatric patient with acute onset of knee swelling and abnormal gait. After point-of-care ultrasound demonstrated b...

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Bibliographic Details
Published inPediatric emergency care Vol. 34; no. 9; p. 673
Main Authors Rizvi, Munaza B, Rabiner, Joni E
Format Journal Article
LanguageEnglish
Published United States 01.09.2018
Subjects
Arthritis, Juvenile - diagnostic imaging
Child, Preschool
Diagnosis, Differential
Edema - etiology
Female
Humans
Knee Joint - diagnostic imaging
Point-of-Care Systems
Ultrasonography - methods
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Summary:Point-of-care musculoskeletal ultrasound can provide information about joint effusions and the quality of the effusion. This case report describes the findings of a previously healthy pediatric patient with acute onset of knee swelling and abnormal gait. After point-of-care ultrasound demonstrated bilateral knee effusions with complex, heterogeneous material, subsequent workup revealed a diagnosis of juvenile idiopathic arthritis (JIA). We review the ultrasound technique, sonographic findings, and literature regarding point-of-care ultrasound for knee effusions and JIA.
ISSN:1535-1815
DOI:10.1097/PEC.0000000000001610