Minardi Joseph J, Lander Owen M
Department of Emergency Medicine, West Virginia University, Morgantown, West Virginia 26506, USA.
J Emerg Med. 2012 Aug;43(2):316-8. doi: 10.1016/j.jemermed.2011.09.029. Epub 2012 Jan 30.
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.
To report a case of atypical septic arthritis with the diagnosis and management significantly aided by the use of bedside ultrasound.
An 18-year-old pregnant woman presented with right hip pain, a normal temperature, and elevated inflammatory markers. She had no risk factors for septic arthritis. The differential diagnosis was broad, but the use of bedside ultrasound assisted in rapidly narrowing the differential, as well as guiding the diagnostic procedure.
Bedside ultrasound is a useful tool to evaluate inflammatory disorders of the hip and assists in hip arthrocentesis, a procedure that has not been traditionally performed by most emergency physicians.
髋关节化脓性关节炎是一种罕见且难以诊断的疾病。在大多数急诊科，传统的从髋关节获取滑液的方法并不总是可行。
报告一例非典型化脓性关节炎病例，床边超声的使用对其诊断和治疗有显著帮助。
一名18岁孕妇出现右髋关节疼痛、体温正常但炎症指标升高。她没有化脓性关节炎的危险因素。鉴别诊断范围广泛，但床边超声的使用有助于迅速缩小鉴别范围，并指导诊断程序。
床边超声是评估髋关节炎症性疾病的有用工具，有助于进行髋关节穿刺术，而大多数急诊医生传统上并不进行该操作。
