Unreliability of Radiographic Diagnosis of Septic Hip in Children

Author:

Volberg Frank M.1,Sumner Thomas E.1,Abramson Jon S.1,Winchester Patricia H.1

Affiliation:

1. From the Departments of Radiology and Pediatrics, Bowman Gray School of Medicine, Winston-Salem, North Carolina and Department of Radiology, Cornell University Medical Center, New York

Abstract

The radiographs of 19 pediatric patients with aspiration-proven bacterial infections of the hip were analyzed. The hip radiograph was abnormal in all neonates showing lateral subluxation. The radiograph was negative in eight of ten children more than 1 year of age. It is emphasized that children with suspected septic hip require immediate joint aspiration regardless of radiographic findings.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

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1. Fractures and Musculoskeletal Infections in the Neonate;Principles of Neonatology;2024

2. Hip effusions or iliopsoas hematomas on ultrasound in identifying hip fractures in the emergency department;The American Journal of Emergency Medicine;2023-02

3. Infectious and Inflammatory Arthritis;Principles and Practice of Pediatric Infectious Diseases;2023

4. ACR Appropriateness Criteria® Osteomyelitis or Septic Arthritis-Child (Excluding Axial Skeleton);Journal of the American College of Radiology;2022-05

5. Musculoskeletal Infections in the Neonate;Pediatric Musculoskeletal Infections;2022

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