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

被引:20
作者
Laine, Jennifer C. [1 ]
Denning, Jaime R. [2 ]
Riccio, Anthony I. [3 ]
Jo, ChanHee [3 ]
Joglar, Jeanne M. [4 ]
Wimberly, Robert L. [3 ]
机构
[1] MD Gillette Childrens Specialty Healthcare, St Paul, MN USA
[2] Cincinnati Childrens, Cincinnati, OH USA
[3] Texas Scottish Rite Hosp Children, Dallas, TX 75219 USA
[4] Childrens Hlth, Dallas, TX USA
来源
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B | 2015年 / 24卷 / 02期
关键词
hip; MRI; septic arthritis; ultrasound; TRANSIENT SYNOVITIS; MAGNETIC-RESONANCE; PAINFUL HIP; CHILDREN; DIAGNOSIS; SEQUELAE; JOINT; INFECTION; CHILDHOOD; INFANCY;
D O I
10.1097/BPB.0000000000000134
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
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. Copyright (C) 2015 Wolters Kluwer Health, Inc. All rights reserved.
引用
收藏
页码:95 / 98
页数:4
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