Hip pain (peds): Difference between revisions
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==DDx== | ==DDx== | ||
=== | ===[[Septic Arthritis (Hip)]]=== | ||
Age - 6 mo to 8 yrs | Age - 6 mo to 8 yrs | ||
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Xrays - possible effusion | Xrays - possible effusion | ||
=== | ===[[Slipped Capital Femoral Epiphysis (SCFE)]]=== | ||
Age - 9 to 16 yrs | Age - 9 to 16 yrs | ||
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Xray - Anterior displacement of femoral neck to head | Xray - Anterior displacement of femoral neck to head | ||
=== | ===[[Legg Calve Perthes Disease]]=== | ||
Age - 4 to 9 yrs | Age - 4 to 9 yrs | ||
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Xrays - Compression, collapse, fragmentation | Xrays - Compression, collapse, fragmentation | ||
=== | ===Acute Transient Synovitis=== | ||
Diagnosis of Exclusion | Diagnosis of Exclusion | ||
Revision as of 15:45, 4 July 2011
Work-Up
- Xray knee-hip
- Consider CBC, Sed rate
- Consider US (vs. CT)
DDx
Septic Arthritis (Hip)
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