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Key role of magnetic resonance imaging in the diagnosis of infections around the hip and pelvic girdle mimicking septic arthritis of the hip in children

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Affiliated Author(s)
송광순이시욱배기철
Alternative Author(s)
Song, Kwang SoonLee, Si WookBae, Ki Cheor
Journal Title
Journal of Pediatric Orthopaedics Part B
ISSN
1060-152X
Issued Date
2016
Keyword
ChildrenMimicking septic hipMagnetic resonance imagingPerihip infectionTreatment
Abstract
Infections around the hip and the pelvic girdle mimicking
septic hip arthritis are rare conditions in the pediatric
population requiring urgent treatment. They are not readily
diagnosed because of rarity, resemblance to septic hip, and
unclear pathophysiology, which often results in
misdiagnosis, delayed diagnosis, and delayed treatment.
The aim of this study was to prove the key role of magnetic
resonance imaging (MRI) as the first-line modality in
making a early definite diagnosis of an uncommon perihip
infection in children. We retrospectively reviewed 20 children
with a provisional diagnosis of unilateral septic hip who
were confirmed finally to have perihip infections and
combined with concomitant osteomyeltis using MRI. All
patients were treated with intravenous antibiotics with or
without abscess aspiration until normalization of clinical
symptoms and laboratory tests including serum C-reactive
protein and erythrocyte sedimentation rate. All infections
healed successfully and the final C-reactive protein was
recovered to a mean of 0.37 mg/dl (range 0.01–0.78 mg/dl)
without recurrence or complication. Although the MRI is
costly and limited in practical application, it was found to be
effective as a primary diagnostic tool for an early, accurate
diagnosis of infections around the hip and the pelvic girdle
in children to correctly guide the decision and the approach
for treatment.
Department
Dept. of Orthopedic Surgery (정형외과학)
Publisher
School of Medicine
Citation
Kwang Soon Song et al. (2016). Key role of magnetic resonance imaging in the diagnosis of infections around the hip and pelvic girdle mimicking septic arthritis of the hip in children. Journal of Pediatric Orthopaedics Part B, 25(3), 234–240. doi: 10.1097/BPB.0000000000000268
Type
Article
ISSN
1060-152X
DOI
10.1097/BPB.0000000000000268
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33228
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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