Hip pain (peds): Difference between revisions

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===Workup===
===Workup===
*X-ray hip (AP & bilateral Frog leg), femur, knee
*X-ray hip (AP & bilateral Frog leg), femur, knee
*Consider CBC, ESR, total CK
*Consider CBC, ESR, CRP
*Consider:
*Consider:
**[[Ultrasound]] to evaluate for effusion
**[[Ultrasound]] to evaluate for effusion

Revision as of 19:06, 8 August 2019

This page is for pediatric patients; for adult patients see 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, CRP
  • Consider:
    • Ultrasound to evaluate for effusion
    • CT or MRI to evaluate for abscess

Kocher Criteria for septic arthritis of the hip

  • ESR > 40 mm/hr
  • WBC > 12,000/microliter
  • Refusal or inability to weight bear on affected joint
  • Fever 38.5° C or greater
Number of Kocher Criteria Chance of Septic Joint
1 3%
2 40%
3 93%
4 99%

Management

Disposition

See Also

References