A total number of 204 patients presenting with an acutely or subacutely painful hip joint were investigated in two prospective studies. Intraarticular fluid collections were detected in 104 patients. The joint effusions showed different echopatterns depending on etiology and duration of disease. Additional diagnostic criteria such as synovial hypertrophy and thickening of the articular capsule allowed the distinction between transient synovitis and septic arthritis. Bony changes were encountered in 40 patients with osteomyelitis, slipping femoral epiphysis or Perthes-Calvé disease. Ultrasonography is recommended as method of choice in detecting, excluding and differentiating of joint effusions.
This is a preview of subscription content, access via your institution.
Buy single article
Instant access to the full article PDF.
Price excludes VAT (USA)
Tax calculation will be finalised during checkout.
Volberg FM, Summer TE, Abramson JS, Winchester PH (1984) Unreliability of radiographic diagnosis of septic hip in children. Pediatrics 74: 118
Catterall A (1971) The natural history of Perthes' disease. J Bone Joint Surg [Br] 53: 37
Marchal GJ, Van Holsbeek MT, Raes M, Favril AA, Verbeken EE, Casteels-Vandaele M, Baert AL, Lauweryns JM (1987) Transient synovitis of the hip in children. Radiology 162: 825
Wilson DJ, Green DJ, MacLarnon JC (1984) Arthrosonography of the painful hip. Clin Radiol 35: 17
Zieger M, Dörr U, Schulz R (1987) Ultrasonography of hip joint effusions. Skeletal Radiol 16: 607
Wingstrand H, Egund N, Lidgreen L, Sahlstrand T (1987) Sonography in septic arthritis of the hip in the child — Report of four cases. J Pediatr Orthop 7: 206