Joseph J Minardi1, Owen M Lander. 1. Department of Emergency Medicine, West Virginia University, Morgantown, West Virginia 26506, USA.
Abstract
BACKGROUND: Septic arthritis of the hip is an infrequent disorder that is difficult to diagnose. Traditional methods of obtaining synovial fluid from the hip are not always available in most emergency departments. OBJECTIVE: To report a case of atypical septic arthritis with the diagnosis and management significantly aided by the use of bedside ultrasound. CASE REPORT: An 18-year-old pregnant woman presented with right hip pain, a normal temperature, and elevated inflammatory markers. She had no risk factors for septic arthritis. The differential diagnosis was broad, but the use of bedside ultrasound assisted in rapidly narrowing the differential, as well as guiding the diagnostic procedure. CONCLUSIONS: Bedside ultrasound is a useful tool to evaluate inflammatory disorders of the hip and assists in hip arthrocentesis, a procedure that has not been traditionally performed by most emergency physicians.
BACKGROUND:Septic arthritis of the hip is an infrequent disorder that is difficult to diagnose. Traditional methods of obtaining synovial fluid from the hip are not always available in most emergency departments. OBJECTIVE: To report a case of atypical septic arthritis with the diagnosis and management significantly aided by the use of bedside ultrasound. CASE REPORT: An 18-year-old pregnant woman presented with right hip pain, a normal temperature, and elevated inflammatory markers. She had no risk factors for septic arthritis. The differential diagnosis was broad, but the use of bedside ultrasound assisted in rapidly narrowing the differential, as well as guiding the diagnostic procedure. CONCLUSIONS: Bedside ultrasound is a useful tool to evaluate inflammatory disorders of the hip and assists in hip arthrocentesis, a procedure that has not been traditionally performed by most emergency physicians.
Authors: Jennifer R Marin; Alyssa M Abo; Alexander C Arroyo; Stephanie J Doniger; Jason W Fischer; Rachel Rempell; Brandi Gary; James F Holmes; David O Kessler; Samuel H F Lam; Marla C Levine; Jason A Levy; Alice Murray; Lorraine Ng; Vicki E Noble; Daniela Ramirez-Schrempp; David C Riley; Turandot Saul; Vaishali Shah; Adam B Sivitz; Ee Tein Tay; David Teng; Lindsey Chaudoin; James W Tsung; Rebecca L Vieira; Yaffa M Vitberg; Resa E Lewiss Journal: Crit Ultrasound J Date: 2016-11-03
Authors: Stephanie C DeMasi; Laura E Goyack; Erin F Shufflebarger; Erik P Hess; Rachel M Skains; Maxwell A Thompson; Samuel Luke Burleson; John P Gullett; David C Pigott Journal: J Am Coll Emerg Physicians Open Date: 2020-04-21
Authors: Keelan Enseki; Marcie Harris-Hayes; Douglas M White; Michael T Cibulka; Judith Woehrle; Timothy L Fagerson; John C Clohisy Journal: J Orthop Sports Phys Ther Date: 2014-06 Impact factor: 4.751