From the Department of Emergency Medicine, Division of Pediatric Emergency Medicine, New York-Presbyterian Morgan Stanley Children's Hospital/Columbia University Irving Medical Center, New York, NY.
Pediatr Emerg Care. 2022 Feb 1;38(2):e1025-e1027. doi: 10.1097/PEC.0000000000002465.
Point-of-care musculoskeletal ultrasound can facilitate diagnosis of joint effusions and help guide management of suspected septic joints. This case report describes a previously healthy pediatric patient with acute onset shoulder pain and fever who was found to have leukocytosis and bacteremia. Point-of-care ultrasound (POCUS) demonstrated a unilateral shoulder joint effusion. After POCUS was performed, purulent fluid was aspirated from the joint, and she was diagnosed with a septic shoulder. We review the ultrasound technique, sonographic findings, and literature regarding POCUS for shoulder effusions.
床边肌骨超声有助于诊断关节积液，并有助于指导疑似化脓性关节炎的治疗。本病例报告描述了一名既往健康的儿童患者，其突发肩部疼痛和发热，白细胞增多和菌血症。床边超声（POCUS）显示单侧肩关节积液。进行 POCUS 后，从关节中抽出脓性液体，诊断为化脓性肩关节。我们回顾了 POCUS 用于肩部积液的超声技术、声像图表现和文献。
