The use of ultrasound in the management of septic arthritis of the hip

In the assessment of septic arthritis of the hip in a pediatric population, ultrasound is a safe and easily conducted method to confirm an effusion. The need for MRI to further evaluate the patient for adjacent infection before treatment is debatable. Once an effusion is confirmed on ultrasonography...

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Bibliographic Details
Published inJournal of pediatric orthopaedics. B Vol. 24; no. 2; p. 95
Main Authors Laine, Jennifer C, Denning, Jaime R, Riccio, Anthony I, Jo, ChanHee, Joglar, Jeanne M, Wimberly, Robert L
Format Journal Article
LanguageEnglish
Published United States 01.03.2015
Subjects
Arthritis, Infectious - diagnostic imaging
C-Reactive Protein - analysis
Child
Disease Management
Hip Joint - diagnostic imaging
Hip Joint - surgery
Humans
Magnetic Resonance Imaging
Ultrasonography
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Summary:In the assessment of septic arthritis of the hip in a pediatric population, ultrasound is a safe and easily conducted method to confirm an effusion. The need for MRI to further evaluate the patient for adjacent infection before treatment is debatable. Once an effusion is confirmed on ultrasonography, we have found that septic arthritis of the hip does not need advanced imaging before arthrotomy and debridement. Patients who fail to clinically respond to an initial hip arthrotomy and appropriate antibiotics may benefit from an MRI for the identification of concomitant infections that may require surgical intervention.
ISSN:1473-5865
DOI:10.1097/BPB.0000000000000134