Hip pain (peds): Difference between revisions
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==See Also== | ==See Also== | ||
[[Acute Transient Synovitis]] | |||
[[Legg Calve Perthes Disease]] | |||
[[Slipped Capital Femoral Epiphysis (SCFE)]] | |||
[[Septic Arthritis]] | |||
==Source== | ==Source== | ||
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[[Category:Peds]] | [[Category:Peds]] | ||
[[Category:Ortho]] | |||
Revision as of 19:38, 7 June 2011
Work-Up
- Xray knee-hip
- Consider CBC, Sed rate
- Consider US (vs. CT)
DDx
SEPTIC ARTHRITIS
Age - 6 mo to 8 yrs
Pres - Pain, Pseudoparalysis
Labs - ESR > 20 after 1-2 d, WBC >
Xrays - possible effusion
SLIPPED CAPITAL FEMORAL EPIPHYSIS (SCFE)
Age - 9 to 16 yrs
Present - mild to severe pain, limp
Labs - normal
Xray - Anterior displacement of femoral neck to head
LEGG-CALVE-PERTHES DISEASE
Age - 4 to 9 yrs
Present - Painless Limp
Labs - normal
Xrays - Compression, collapse, fragmentation
ACUTE TRANSIENT SYNOVITIS
Diagnosis of Exclusion
Age - 3 to 8 yrs
Present - Pain. Limp, refusal to bear weight
Labs - nl
Xray - normal
See Also
Slipped Capital Femoral Epiphysis (SCFE)
Source
Resident & Staff Physician, July 02