PEDIATRICS Vol. 74 No. 1 July 1984, pp. 118-120
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Unreliability of Radiographic Diagnosis of Septic Hip in Children

Frank M. Volberg MD1, Thomas E. Sumner MD1, Jon S. Abramson MD1, and Patricia H. Winchester MD1

1 From the Departments of Radiology and Pediatrics, Bowman Gray School of Medicine, Winston-Salem, North Carolina and Department of Radiology, Cornell University Medical Center, New York

The radiographs of 19 pediatric patients with aspiration-proven bacterial infections of the hip were analyzed. The hip radiograph was abnormal in all neonates showing lateral subluxation. The radiograph was negative in eight of ten children more than 1 year of age. It is emphasized that children with suspected septic hip require immediate joint aspiration regardless of radiographic findings.

Key Words: septic hip • hip aspiration • joint infection • staphylococcal infections

Submitted on July 6, 1983




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