Diferenciación de sinovitis transitoria y artritis séptica de cadera con criterios clínicos y ecográficos
ABSTRACT IntroductionUltrasound does not distinguish between different types of synovitis. The aim of this study was to evaluate its contribution, together with several clinical data, in the diagnosis of septic arthritis (SA) and transient synovitis (TS) of the hip.
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ABSTRACT: IntroductionLimping is a frequent reason for consultation. Our aim is to describe the characteristics of patients who limp and are evaluated in Rheumatology.Material and Methods Cross-sectional study from October 2009 to June 2010. Variables included: epidemiological data, clinical symptoms and laboratory and imaging tests.ResultsA total of 95 patients were studied and classified into four groups according to their diagnosis, inflammatory 22%, infectious 17%, transient hip synovitis 13%, and miscellaneous 48%. There were differences between groups in age (P<0.0001) and arthritis (P<0.0001). In this population, the probability of an infectious/inflammatory limp fulfils the criteria “less than 3 years and fever” was 79% and reached 100% if it was also associated with arthritis.Conclusions Clinical evaluation and in particular, age, fever and arthritis seem to be the most relevant data in differentiating infectious/inflammation diagnosis in the child who limps.Anales de Pediatría 05/2012; 76(5):290–293. DOI:10.1016/j.anpedi.2011.10.011 · 0.72 Impact Factor