Ultrasound-Guided Hip Arthrocentesis in a Child with Hip Pain and Fever
نویسندگان
چکیده
Children presenting to the emergency department with hip pain and fever are at risk for significant morbidity due to septic arthritis. Distinguishing between septic arthritis and other causes of hip pain may be challenging. Sonographic visualization of the hip with real-time ultrasound-guided arthrocentesis may allow faster differentiation between etiologies, hastening definitive therapy and improving analgesia. This report describes the use of hip sonography in a case of Lyme arthritis. The authors review the medical literature in support of bedside hip sonography and discuss how to perform ultrasound-guided hip arthrocentesis. Clinical findings in septic and Lyme arthritis are also described.
منابع مشابه
Ultrasound-guided fascia iliaca compartment block in orthopedic fractures: Bupivacaine 0.2% or 0.3%?
Background: Postoperative pain is one of the major problems in patients with femoral or hip fracture. Current study investigates the effect of 0.2% and 0.3% bupivacaine in ultrasound-guided fascia iliaca compartment block (FICB) on postoperative pain. Methods: This randomized clinical trial study was conducted in Rasoul Akram Hospital of Iran University of Medical Sciences. Forty-eigh...
متن کاملDiagnosis of Hip Effusion with Bedside Ultrasound in the Emergency Department
The use of bedside ultrasound by emergency physicians has dramatically increased over the past twelve years. Its use has led to increased speed of diagnosis, expedited disposition, and improved quality of emergency care. While there are eight primary applications of emergency ultrasound, its increasing presence in the emergency department (ED) has led to broader utilization of this diagnostic m...
متن کاملSeptic hip arthritis: diagnosis and arthrocentesis using bedside ultrasound.
BACKGROUND Septic arthritis of the hip is an infrequent disorder that is difficult to diagnose. Traditional methods of obtaining synovial fluid from the hip are not always available in most emergency departments. OBJECTIVE To report a case of atypical septic arthritis with the diagnosis and management significantly aided by the use of bedside ultrasound. CASE REPORT An 18-year-old pregnant ...
متن کاملSonography for the investigation of a child with a limp
Hip pain is a common paediatric presentation and is potentially serious. While hip pain can be attributed to primary hip pathology, the hip area is also a common site for referred pain. This often poses a diagnostic challenge particularly in the young child who may not verbalise the point of pain and may not report an injury. Differential diagnoses for paediatric hip joint pain range from fract...
متن کاملManaging an Acute and Chronic Periprosthetic Infection
A case report of a 65-year-old female with a history of right total hip arthroplasty (THA) in 2007 and left THA in 2009 was presented. She consulted with our institution for the first time, on December 2013, for right hip pain and fistula on the THA incision. It was managed as a chronic infection, so a two-stage revision was performed. First-time intraoperative cultures were positive for Staphy...
متن کامل