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Titolo:
TRANSIENT SYNOVITIS OF THE HIP - REVIEW O F CASE-HISTORIES AND PROPOSAL OF OUTPATIENT DIAGNOSTIC PROCEDURES
Autore:
ZAMPOLLI M; DAMICO S; DELLAVIGNA P; DELSASSO L; LONGHI R;
Indirizzi:
OSPED SANT ANNA,DIV PEDIAT,VIA NAPOLEONA 60 COMO ITALY OSPED SANT ANNA,DIV ORTOPEDIA & TRAUMATOL B COMO ITALY OSPED SANT ANNA,SERV RADIOL DIAGNOST COMO ITALY
Titolo Testata:
Rivista italiana di pediatria
fascicolo: 5, volume: 23, anno: 1997,
pagine: 868 - 872
SICI:
0392-5161(1997)23:5<868:TSOTH->2.0.ZU;2-C
Fonte:
ISI
Lingua:
ITA
Soggetto:
IRRITABLE HIP; HOSPITAL ADMISSION; PERTHES-DISEASE; ULTRASOUND; CHILDREN; MANAGEMENT; ASPIRATION; ETIOLOGY;
Keywords:
COXODYNIA; TRANSIENT SYNOVITIS OF THE HIP; ULTRASONOGRAPHY;
Tipo documento:
Article
Natura:
Periodico
Citazioni:
19
Recensione:
Indirizzi per estratti:
Citazione:
M. Zampolli et al., "TRANSIENT SYNOVITIS OF THE HIP - REVIEW O F CASE-HISTORIES AND PROPOSAL OF OUTPATIENT DIAGNOSTIC PROCEDURES", Rivista italiana di pediatria, 23(5), 1997, pp. 868-872

Abstract

We evaluated retrospectically 54 children (43 M, 11 F), aged 11 mo-13yr, admitted to the pediatric department during the last 5 years, because of painful hip and/or limp (except trauma). The dismission diagnosis were TS (n = 47), other diseases of the hip (n = 7). Aims: to evaluate the usefullness of laboratory and instrumental data in the differential diagnosis of hip diseases and therefore, the possibility of detection of TS in the emergency room, reducing hospital admissions and managing these children as outpatients. Results and conclusions: no exam resulted discriminant, but the clinical presentation, together with hematologic and ultrasound data, frequently allows the diagnosis of TSand the exclusion of an orthopedic-pediatric emergency. In our study,41/47 TS could be diagnosed in the emergency room. ultrasonography isthe instrumental test to be preferred at diagnosis and in the follow-up, because of the absence of side effects and controindications and its good sensitivity. X-ray should be reserved for patients with unremitting symptoms and/or persistent hip effusion.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/11/20 alle ore 21:37:42