Pediatric hip pain

Background

  • It can be difficult to differentiate hip from knee pain in children

Clinical Features

  • Hip pain

Differential Diagnosis

Pediatric hip pain

Evaluation

Left hip effusion[1]

Workup

  • X-ray hip (AP & bilateral Frog leg), femur, knee
  • Consider CBC, ESR, total CK
  • Consider:
    • Ultrasound to evaluate for effusion
    • CT to evaluate for abscess

Kocher Criteria for septic arthritis of the hip

  1. ESR > 40
  2. WBC > 12
  3. Refusal or inability to weight bear on affected joint
  4. Fever
Number of Kocher Criteria Chance of Septic Joint
1 3%
2 40%
3 93%
4 99%

Management

Disposition

See Also

References

  1. http://www.thepocusatlas.com/pediatrics/
Last modified on 17 February 2018, at 16:09