title: The role of ultrasound and isotope scanning in the management of irritable hips.
abstract: Patients (n = 181) with the irritable hip syndrome were reviewed. Four of these were found to have Perthes disease and 3 cases had septic arthritis. Ultrasonography provides accurate information as to the presence or absence of an effusion in children with an irritable hip syndrome. The likelihood of a positive result is higher in the early course of the disease process (i.e. within 3 days). Bone scanning, if done routinely will help in the early diagnosis of Perthes disease. Recurrence of the symptoms occurred in 18% of patients and most of them were within 12 months of the first onset of symptoms.
authors.affiliation: University Department of Orthopaedic Surgery, Royal Liverpool Children's Hospital, UK.
authors.forename: T S
authors.initials: TS
authors.lastname: Gopakumar
authors.forename: R
authors.initials: R
authors.lastname: Vaishya
authors.forename: L
authors.initials: L
authors.lastname: Klenerman
authors.forename: H
authors.initials: H
authors.lastname: Carty
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006621:Hip Joint / Q000000981:diagnostic imaging*; D006801:Humans; D007223:Infant; D007592:Joint Diseases / Q000000981:diagnostic imaging; D007873:Legg-Calve-Perthes Disease / Q000000981:diagnostic imaging; D008297:Male; D010146:Pain / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D012008:Recurrence; D012189:Retrospective Studies; D013577:Syndrome; D013669:Technetium Tc 99m Medronate; D014463:Ultrasonography
chemical_list: D013669:Technetium Tc 99m Medronate