Ultrasonographic evaluation of the anterior recess in the normal hip: A prospective study on 166 asymptomatic children

Rohrschneider, W; Fuchs, Gabriele; Tröger, J.

doi:10.1007/bf01356823

Cited by 35 publications

(30 citation statements)

References 24 publications

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“…If present, an effusion will be visualized in the anterior synovial recess overlying the anterior surface of the femoral neck (Figure 1). Of note, Rohrschneider et al 15 found that 12% of asymptomatic children will have a thin layer of synovial fluid in this space. Tien and colleagues 1 have defined the normal range in millimeters for such a fluid collection as less than or equal to 6.52 mm + 0.013 × (age in months).…”

Section: Discussionmentioning

confidence: 98%

Ultrasound-Guided Hip Arthrocentesis in a Child with Hip Pain and Fever

Moak¹,

Vaughan²,

Silverberg³

2012

WestJEM

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Children presenting to the emergency department with hip pain and fever are at risk for significant morbidity due to septic arthritis. Distinguishing between septic arthritis and other causes of hip pain may be challenging. Sonographic visualization of the hip with real-time ultrasound-guided arthrocentesis may allow faster differentiation between etiologies, hastening definitive therapy and improving analgesia. This report describes the use of hip sonography in a case of Lyme arthritis. The authors review the medical literature in support of bedside hip sonography and discuss how to perform ultrasound-guided hip arthrocentesis. Clinical findings in septic and Lyme arthritis are also described.

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Section: Discussionmentioning

confidence: 98%

Ultrasound-Guided Hip Arthrocentesis in a Child with Hip Pain and Fever

Moak¹,

Vaughan²,

Silverberg³

2012

WestJEM

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“…21 Unfortunately, ultrasound characteristics of a hip effusion lack the accuracy to distinguish a septic from an aseptic effusion. 14,22 Only when the clinical scenario is appropriate, arthrocentesis must be performed to delineate these separate processes.…”

Section: Identifying a Hip Effusionmentioning

confidence: 99%

“…It appears as a dark, hypoechoic stripe, which lifts the anterior joint capsule. An effusion thickness of greater than 5 mm between the femoral neck and outer capsule in a child, and greater than 7 mm in an adult, has been used as diagnostic criteria for a hip effusion [14][15][16] (Fig. 2, Fig.…”

Section: Identifying a Hip Effusionmentioning

confidence: 99%

The Role of Ultrasound in the Emergency Department Evaluation of the Acutely Painful Pediatric Hip

Plumb¹,

Mallin²,

Bolte³

2015

Pediatric Emergency Care

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Children presenting with hip pain or a limp are a diagnostic challenge for the clinician. The differential diagnosis is extensive, and the workup can be broad. This review focuses on differentiating between transient synovitis and septic arthritis of the hip. The role of bedside ultrasound in the clinical evaluation of these patients is addressed, including the technique and appropriate indications for bedside ultrasound of the hip in the emergency department.

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“…A hump of the posterior layer, probably representing the insertion of the capsule in the femoral neck, and plicae running between the layers are considered normal. According to Rohrschneider et al, it is more rational to detect effusion by visualising the effusion itself than by relying on indirect signs such as neck±capsule distance [159] or differences in joint capsule measurements between hips. Two millimetres seems to be a sound threshold to differentiate a pathological from a physiological effusion (Fig.…”

Section: Musculoskeletal Systemmentioning

confidence: 99%

Paediatric ultrasound. Part 2: Other applications

Tomà

Rossi

2001

Eur Radiol

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This article focuses on small-parts US in children. The differential diagnosis of cystic neck masses primarily includes lymphangiomas, thyroglossal duct cysts and branchial cleft cysts. Solid masses may be represented from lymphadenopathies, cervical extensions of mediastinal thymus, fibromatosis colli, rhabdomyosarcomas and neuroblastomas. Salivary gland lesions are uncommon in children. Thyroid is best evaluated by US and nuclear scintigraphy. If US shows abnormal thyroid gland, the isotopic scan may be a good complementary method to confirm the diagnosis. Normal parathyroid glands are not visualised routinely by US because of their small size. Parathyroid adenomas are unusual in paediatrics. Ultrasound can be successfully used in the differential diagnosis of the painful scrotum especially with colour flow Doppler. The hallmark of ischaemia is a completely avascular testis. In the paediatric age group, the most common application of US to the musculoskeletal system is the evaluation of the infant hip in the first 6 months of life; however, the refinement of new transducers has further improved the ability of US equipment to evaluate a variety of other musculoskeletal disorders in children, involving tendons, muscles, nerves as well as soft tissue masses. Ultrasound can be a useful screening tool in newborns suspected of having closed spinal dysraphism.

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Ultrasonographic evaluation of the anterior recess in the normal hip: A prospective study on 166 asymptomatic children

Cited by 35 publications

References 24 publications

Ultrasound-Guided Hip Arthrocentesis in a Child with Hip Pain and Fever

Ultrasound-Guided Hip Arthrocentesis in a Child with Hip Pain and Fever

The Role of Ultrasound in the Emergency Department Evaluation of the Acutely Painful Pediatric Hip

Paediatric ultrasound. Part 2: Other applications

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