Ultrasonography in Slipped Capital Femoral Epiphysis

Kallio, PE; LeQuesne, G. W.; Patterson, Daniel

doi:10.1097/01241398-199205000-00045

Cited by 7 publications

(6 citation statements)

References 16 publications

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“…Ultrasound does not usually play a role in the diagnosis of SCFE, although its use in diagnosis and follow‐up had been described in the past 21 . Nevertheless, the relationship between the head of femur and physis should be established when scanning a patient in the “at risk” group.…”

Section: Slipped Capital Femoral Epiphysismentioning

confidence: 99%

Sonography for the investigation of a child with a limp

Crow

Cheung

Lam

et al. 2010

Australas J Ultrason Med

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Hip pain is a common paediatric presentation and is potentially serious. While hip pain can be attributed to primary hip pathology, the hip area is also a common site for referred pain. This often poses a diagnostic challenge particularly in the young child who may not verbalise the point of pain and may not report an injury.Differential diagnoses for paediatric hip joint pain range from fracture, transient synovitis, septic arthritis with or without osteomyelitis, juvenile idiopathic arthritis (JIA, previously juvenile rheumatoid arthritis JRA), Legg‐Calve‐Perthes' disease (LCP), slipped capital femoral epiphysis (SCFE) to haemarthrosis in patient with a clotting disorder. Referred pain from abdominal pathology, for example; appendicitis, psoas abscess or haematoma should also be considered.The evaluation and management of hip pain requires a thorough history and physical examination. A radiograph is usually indicated to rule out any bony injury. Septic arthritis is a medical emergency requiring urgent surgical as well as medical treatment. Ultrasound of the hip joint plays a role in helping to differentiate which hips require early intervention and to guide a needle aspiration of joint fluid if indicated.In this article, we aim to review the anatomy of the hip, techniques in ultrasonographic examination and some common pathologies in the paediatric hip.

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Section: Slipped Capital Femoral Epiphysismentioning

confidence: 99%

Sonography for the investigation of a child with a limp

Crow

Cheung

Lam

et al. 2010

Australas J Ultrason Med

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“…Intraarticular fractures and acute slipped capital femoral epiphysis (SCFE) are frequently complicated by a hip joint effusion which is easily detected within the hip joint recess alongside the anterior (or posterior) circumference of the femoral neck [11,26,27]. To evaluate hip joint effusions, linear arrays are placed in the longitudinal axis of the femoral neck.…”

Section: Hip Traumamentioning

confidence: 99%

“…It must be mentioned that the caput collum diaphysis angle (CCD angle) is higher in children when compared to adults. It is noteworthy that most hip joint effusions in limping children are caused by orthopedic disorders like transient synovitis of the hip, Perthes disease, or SCFE [26,27]. Many of these children are admitted for evaluation of limping gait and complain of knee pain.…”

Section: Hip Traumamentioning

confidence: 99%

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Musculoskeletal Ultrasound in Pediatric Trauma

2004

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Background and Purpose: The radiologic evaluation of musculoskeletal injuries in young children is difficult due to the absent ossification of several secondary ossification centers, which therefore cannot be seen directly on plain radiographs. When relying on conventional radiographs, even severe cartilaginous or soft tissue injuries cannot be visualized, as there is no possibility to differentiate them from bruises or sprains. It is the aim of this review to present clinically relevant applications of ultrasound imaging in pediatric musculoskeletal trauma. Methods: Currently used ultrasound techniques for evaluation of typical pediatric fractures or joint dislocations, techniques for differentiation between stable and unstable intraarticular fractures, the use of sonography for monitoring reduced bone length in long bones after fracture, sonographic guidelines for evaluation of tendon injuries or lesions, and sonographic imaging techniques in arthritis and osteomyelitis are described. Conclusion: Musculoskeletal sonography -despite its inability to view through intact cortical bone and its accuracy being dependent on skill and experience of the investigator -provides important information about soft tissue, bony or cartilaginous injuries in children.

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“…En cas de doute persistant l'Ochographie pourrait apporter le diagnostic en montrant un dOcrochement entre les parties antOrieures de la mOtaphyse et de l'Opiphyse [12].…”

Section: ) Epiphysiolyse Chroniqueunclassified

Epiphysiolyse fémorale supérieure

Ligier¹

1992

Orthop Traumatol

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Ultrasonography in Slipped Capital Femoral Epiphysis

Cited by 7 publications

References 16 publications

Sonography for the investigation of a child with a limp

Sonography for the investigation of a child with a limp

Musculoskeletal Ultrasound in Pediatric Trauma

Epiphysiolyse fémorale supérieure

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