Universität zu Köln

Yagdiran, Ayla, Zarghooni, Kourosh, Semler, Joerg Oliver and Eysel, Peer (2020). Hip Pain in Children. Dtsch. Arztebl. Int., 117 (5). S. 72 - 84. COLOGNE: DEUTSCHER AERZTE-VERLAG GMBH. ISSN 1866-0452

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Abstract

Background: Atraumatic hip pain in children is one of the most common symptoms with which pediatricians, orthopedists, and general practitioners are confronted, with an incidence of 148 cases per 100 000 persons per year. Methods: This article is based on publications up to April 2019 that were retrieved by a selective search in the PubMed database, including case reports and reviews. Results: Infants with fever often have purulent coxitis, which can be diagnosed by blood tests and ultrasonography. Toddlers and older children may suffer from painful restriction of motion of the hip joint, associated with limping (antalgic gait) or even the inability to walk. The main elements of the differential diagnosis in children aged 2-10 are coxitis fugax and idiopathic necrosis of the femoral head (Perthes disease). In children aged 10 and up, and in adolescents, slipped capital femoral epiphysis (SCFE) is typical. Bone tumors and rheumatic diseases must always be considered as well. The initial diagnostic steps on presentation of a child with restricted hip movement should be plain x-rays and joint ultrasonography for the detection of an effusion. Suspicion of a tumor is the main indication for tomographic imaging (computed tomography or magnetic resonance imaging). Conclusion: The underlying cause of hip pain in children should be diagnosed early to avoid adverse sequelae.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Yagdiran, Ayla UNSPECIFIED UNSPECIFIED UNSPECIFIED Zarghooni, Kourosh UNSPECIFIED UNSPECIFIED UNSPECIFIED Semler, Joerg Oliver UNSPECIFIED UNSPECIFIED UNSPECIFIED Eysel, Peer UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-347893
DOI:	10.3238/arztebl.2020.0072
Journal or Publication Title:	Dtsch. Arztebl. Int.
Volume:	117
Number:	5
Page Range:	S. 72 - 84
Date:	2020
Publisher:	DEUTSCHER AERZTE-VERLAG GMBH
Place of Publication:	COLOGNE
ISSN:	1866-0452
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CALVE-PERTHES-DISEASE; LATERAL PILLAR CLASSIFICATION; SEPTIC ARTHRITIS; DIFFERENTIAL-DIAGNOSIS; TRANSIENT SYNOVITIS; JOINT INFECTIONS; CHILDHOOD; BONE Multiple languages Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/34789