Tsung James W, Blaivas Michael
Department of Emergency Medicine, Bellevue Hospital Center/NYU School of Medicine, New York, New York 10016, USA.
J Emerg Med. 2008 Nov;35(4):393-9. doi: 10.1016/j.jemermed.2007.10.054. Epub 2008 Apr 10.
Children with complaints of hip pain, a painful limp, or refusal to weight bear commonly present to the Emergency Department (ED). The ability to use point-of-care ultrasound in the ED to diagnose a hip joint effusion and to guide arthrocentesis can be helpful to facilitate diagnosis and management of these children. The capsular-synovial thickness of the hip is measured from the anterior bony cortical surface to the posterior surface of the iliopsoas muscle at the concavity of the femoral neck. A capsular-synovial thickness>5 mm, or >2 mm difference compared to the asymptomatic contralateral hip are the described sonographic criteria for hip joint effusion in children. We report on the use of point-of-care ultrasound to diagnose hip effusion and to guide arthrocentesis in a series of pediatric patients presenting with hip pain to the ED.
主诉髋关节疼痛、疼痛性跛行或拒绝负重的儿童通常会前往急诊科（ED）就诊。在急诊科使用即时超声诊断髋关节积液并指导关节穿刺术，有助于促进对这些儿童的诊断和管理。髋关节的关节囊 - 滑膜厚度是在股骨颈凹陷处从骨性皮质前表面测量至髂腰肌后表面。关节囊 - 滑膜厚度>5 mm，或与无症状的对侧髋关节相比差值>2 mm是描述的儿童髋关节积液的超声标准。我们报告了在一系列因髋关节疼痛前往急诊科就诊的儿科患者中，使用即时超声诊断髋关节积液并指导关节穿刺术的情况。
