Hip pain (peds): Difference between revisions
No edit summary |
|||
| Line 50: | Line 50: | ||
[[Slipped Capital Femoral Epiphysis (SCFE)]] | [[Slipped Capital Femoral Epiphysis (SCFE)]] | ||
[[Septic Arthritis]] | [[Septic Arthritis (Hip)]] | ||
==Source== | ==Source== | ||
Revision as of 19:39, 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