Division of Pediatric Orthopaedics, Department of Orthopaedics, Golisano Childrens Hospital, University of Rochester, 601 Elmwod Avenue, Rochester, NY 14642, USA.
Pediatr Clin North Am. 2014 Dec;61(6):1109-18. doi: 10.1016/j.pcl.2014.08.002. Epub 2014 Sep 29.
Transient synovitis, septic hip, and Legg-Calvé-Perthes disease are common conditions in children. Distinguishing between these disorders can be a diagnostic challenge. Similar presentations, in an age group difficult to examine, coupled with literature that is confusing creates difficulty. It is important to make the correct diagnosis of septic hip in a timely fashion to avoid serious and potentially crippling consequences. As there is no single test for discriminating between these conditions, knowledge of the nuances of clinical presentation, physical examination, laboratory investigations, and imaging is essential. Judicious use of clinical algorithms can complement clinical acumen.
一过性滑膜炎、化脓性髋关节炎和 Legg-Calvé-Perthes 病是儿童常见疾病。鉴别这些疾病具有一定挑战性。在难以检查的年龄段，这些疾病的表现相似，再加上文献比较混乱，这就增加了难度。及时做出化脓性髋关节炎的正确诊断非常重要，以避免严重且可能致残的后果。由于没有单一的测试可以区分这些疾病，因此了解临床特征、体格检查、实验室检查和影像学的细微差别至关重要。明智地使用临床算法可以补充临床敏锐度。
