Septic Hip Arthritis: Diagnosis and Arthrocentesis Using Bedside Ultrasound

Nonarthritic Hip Joint Pain

“…12, 14, 22, 88, 91, 93, 133, 150, 168, 177, 181, 182, 194 It should be noted, that these conditions are not necessarily mutually exclusive, and at times, may be related to each other. Recently, an increased focus has been placed on identifying acetabular labral tears as one cause of hip pain and understanding the underlying mechanisms in the development of labral tears.…”

Ultrasound in Athletes

“…Novel injectants such as PRP also have been studied in the setting of ultrasound guidance but will require further outcomes research to establish efficacy and superiority over other treatment modalities (58). Ultrasound also has been used to diagnose and guide treatment (arthrocentesis) of septic hip (45). More recently, shockwave therapy using ultrasound also has been used in conditions such as chronic proximal hamstring tendinopathy.…”

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

“…Studies have shown that emergency medicine and pediatric emergency medicine physicians with focused training can successfully evaluate the pediatric hip for the presence of an effusion as well as use ultrasound to aspirate fluid from the hip. 13,[26][27][28][29] However, there are important caveats to widely implementing the use of BUS for the evaluation of the pediatric hip.…”

“…[23][24][25] Ultrasound-guided hip aspiration can be performed safely and accurately by emergency physicians in an ED setting. [26][27][28][29] In pediatric patients, there are additional considerations when performing this procedure, including the need for procedural sedation and appropriate restraints. Absolute contraindication would include infection in overlying skin or surrounding soft tissue, and relative contraindication would include coagulation disorder, especially if severe.…”