Department of Imaging, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Department of Trauma and Orthopaedics, Addenbrooke's Hospital, Cambridge, UK.
Br J Hosp Med (Lond). 2023 Jul 2;84(7):1-10. doi: 10.12968/hmed.2023.0054. Epub 2023 Jul 12.
Hip pain in a child can pose a diagnostic conundrum. In most cases, the cause of a painful hip is often attributed to trauma, but a number of these cases will be atraumatic. The main entities to consider are inflammatory, infective and neoplastic causes. Pathologies such as avascular necrosis and slipped upper femoral epiphysis can also present in a similar manner. A detailed history and clinical examination are crucial in narrowing down the differential diagnosis. In addition, understanding the most appropriate imaging modalities and the characteristic radiological findings is key in ensuring timely treatment and management. This article reviews the various disease processes in children who present with hip pain and outlines the most appropriate assessment and imaging modalities that will aid diagnosis.
儿童髋关节疼痛可能构成诊断难题。在大多数情况下，髋关节疼痛的原因通常归因于创伤，但其中许多情况是无创伤性的。需要考虑的主要实体是炎症、感染和肿瘤原因。骨坏死和股骨上端滑脱等病理学也可能以类似方式出现。详细的病史和临床检查对于缩小鉴别诊断范围至关重要。此外，了解最合适的成像方式和特征性的影像学发现是确保及时治疗和管理的关键。本文综述了儿童髋关节疼痛的各种疾病过程，并概述了最适合的评估和成像方式，以帮助诊断。
