Factors Distinguishing Septic Arthritis From Transient Synovitis of the Hip in Children

Sensitivity of Erythrocyte Sedimentation Rate and C-reactive Protein for the Exclusion of Septic Arthritis in Emergency Department Patients

“…We enrolled patients who had ESR or CRP testing within 24 h of ED presentation, but did not control for when during the 24-h period testing was done. Our 24-h timeframe corresponds to the time previous studies have shown to be associated with elevated ESR and CRP measurements, but it is possible that our results could vary depending on exactly when testing was performed (9). We used a definition of septic arthritis that we feel captures all patients with a clinically significant joint infection, including those patients who are treated operatively despite indeterminate testing.…”

Managing monoarthritis in children

“…This diagnosis should be considered first, given its potential for devastating outcomes [12]. Warning signs include a fever, laboratory evidence of inflammation, and leukocytosis.…”

(i) Irritable hip and septic arthritis of the hip

“…Subsequently, the authors validated the same four clinical variables in a prospective study within a different population although the predictive values were diminished (93% for all four variables, 72.8% for three variables). 23 Although some investigators have found similar predictive values on prospective evaluation of the four variables plus C reactive protein, 24 others have found the algorithm to be not …”