title: The use of ultrasound in the management of septic arthritis of the hip.
abstract: In the assessment of septic arthritis of the hip in a pediatric population, ultrasound is a safe and easily conducted method to confirm an effusion. The need for MRI to further evaluate the patient for adjacent infection before treatment is debatable. Once an effusion is confirmed on ultrasonography, we have found that septic arthritis of the hip does not need advanced imaging before arthrotomy and debridement. Patients who fail to clinically respond to an initial hip arthrotomy and appropriate antibiotics may benefit from an MRI for the identification of concomitant infections that may require surgical intervention.
authors.affiliation: aMD Gillette Children's Specialty Healthcare, St Paul, Minnesota bCincinnati Childrens, Cincinnati, Ohio cTexas Scottish Rite Hospital for Children, Dallas dChildren's Health, Dallas, Texas, USA.
authors.forename: Jennifer C
authors.initials: JC
authors.lastname: Laine
authors.forename: Jaime R
authors.initials: JR
authors.lastname: Denning
authors.forename: Anthony I
authors.initials: AI
authors.lastname: Riccio
authors.forename: ChanHee
authors.initials: C
authors.lastname: Jo
authors.forename: Jeanne M
authors.initials: JM
authors.lastname: Joglar
authors.forename: Robert L
authors.initials: RL
authors.lastname: Wimberly
mesh_terms: D001170:Arthritis, Infectious / Q000000981:diagnostic imaging*; D002097:C-Reactive Protein / Q000032:analysis; D002648:Child; D019468:Disease Management; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D014463:Ultrasonography
chemical_list: D002097:C-Reactive Protein