Plumb Jennifer, Mallin Michael, Bolte Robert G
Assistant Professor of Pediatrics and Director of Emergency Ultrasound (Plumb), Professor of Pediatrics (Bolte), *Division of Pediatric Emergency Medicine; Assistant Professor of Surgery and Director Emergency Ultrasound (Mallin), †Division of Emergency Medicine, University of Utah School of Medicine, Salt Lake City, UT.
Pediatr Emerg Care. 2015 Jan;31(1):54-8; quiz 59-61. doi: 10.1097/PEC.0000000000000332.
Children presenting with hip pain or a limp are a diagnostic challenge for the clinician. The differential diagnosis is extensive, and the workup can be broad. This review focuses on differentiating between transient synovitis and septic arthritis of the hip. The role of bedside ultrasound in the clinical evaluation of these patients is addressed, including the technique and appropriate indications for bedside ultrasound of the hip in the emergency department.
出现髋关节疼痛或跛行的儿童对临床医生来说是一个诊断难题。鉴别诊断范围广泛,检查过程可能涉及面广。本综述着重于区分髋关节一过性滑膜炎和化脓性关节炎。文中还探讨了床旁超声在这些患者临床评估中的作用,包括急诊科髋关节床旁超声检查的技术及适用指征。