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Aspirate kids hips even if its Transient synovitis

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By David Bennett Pediatric Orthopaedic Surgeon in the United States
Benton E Heyworth, Benjamin J Shore, Kyna S Donohue, Patricia E Miller, Mininder S Kocher, Michael P Glotzbecker
BACKGROUND: In this study, we sought to elucidate the presentation, clinical course, treatments pursued, final diagnosis, and risk factors for septic arthritis in a series of children with hip pain and intermediate synovial fluid values (white blood-cell [WBC] counts of 25,000 to 75,000 cells/mm(3) [25 to 75 × 10(9) cells/L]). METHODS: We reviewed the records of pediatric patients who underwent hip aspiration between 2005 and 2012 at a tertiary-care pediatric hospital...
March 4, 2015: Journal of Bone and Joint Surgery. American Volume
Boaz Liberman, Amir Herman, Amos Schindler, Nir Sherr-Lurie, Abraham Ganel, Uri Givon
INTRODUCTION: Hip transient synovitis (TS) is a common pediatric orthopaedic problem. Although a self-limiting illness, it often makes the patient temporarily disabled and poses a diagnostic difficulty because of its similarity to septic arthritis in clinical manifestations. The aim of this study was to evaluate the use of a single ultrasound-guided hip aspiration as a treatment modality for TS. METHODS: Between the years 1984 and 1989, 112 children with TS were treated through bed rest and using nonsteroidal anti-inflammatory drugs (group 1)...
March 2013: Journal of Pediatric Orthopedics
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