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Titolo:
THE IRRITABLE HIP - IMMEDIATE ULTRASOUND-GUIDED ASPIRATION AND PREVENTION OF HOSPITAL ADMISSION
Autore:
FINK AM; BERMAN L; EDWARDS D; JACOBSON SK;
Indirizzi:
UNIV CAMBRIDGE,ADDENBROOKES HOSP,DEPT RADIOL,HILLS RD CAMBRIDGE CB2 2QQ ENGLAND UNIV CAMBRIDGE,ADDENBROOKES HOSP,DEPT RADIOL CAMBRIDGE CB2 2QQ ENGLAND UNIV CAMBRIDGE,ADDENBROOKES HOSP,DEPT ORTHOPAED SURG CAMBRIDGE CB2 2QQ ENGLAND UNIV CAMBRIDGE,ADDENBROOKES HOSP,PUBL HLTH LAB CAMBRIDGE CB2 2QQ ENGLAND
Titolo Testata:
Archives of Disease in Childhood
fascicolo: 2, volume: 72, anno: 1995,
pagine: 110 - 113
SICI:
0003-9888(1995)72:2<110:TIH-IU>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
CAPITAL FEMORAL EPIPHYSIS; TRANSIENT SYNOVITIS; PAINFUL HIP; SEPTIC ARTHRITIS; PERTHES-DISEASE; CHILDREN; ULTRASONOGRAPHY; JOINT; DIAGNOSIS; SONOGRAPHY;
Keywords:
IRRITABLE HIP; ULTRASOUND; ASPIRATION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
31
Recensione:
Indirizzi per estratti:
Citazione:
A.M. Fink et al., "THE IRRITABLE HIP - IMMEDIATE ULTRASOUND-GUIDED ASPIRATION AND PREVENTION OF HOSPITAL ADMISSION", Archives of Disease in Childhood, 72(2), 1995, pp. 110-113

Abstract

A protocol for the management of irritable hip was assessed; this protocol avoids hospital admission while detecting all other serious causes of hip pain, in particular septic arthritis, at the earliest possible opportunity. Fifty children with painful hips were studied prospectively with immediate ultrasound guided aspiration and Gram stain of all hip effusions. Bone scintigraphy performed at an early stage was reserved for patients with unremitting symptoms. Thirty six hips were aspirated. Only two patients were admitted. The final diagnoses were transient synovitis (45 cases), Perthes' disease (three cases), fracture (one case), and septic arthritis (one case). The single case of hip sepsis was diagnosed on presentation. The traditional approach to management is questioned and the advantages of the protocol highlighted, including earliest diagnosis of sepsis and other serious pathology, avoidance of hospital admission, and the relief of pain by joint decompression.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/11/20 alle ore 04:42:58