Benefit of hip ultrasound in management of the limping child

• Published in: Journal de radiologie 2007-03, Vol.88 (3 Pt 1), p.377-383
• Main Authors: Bienvenu-Perrard, M, de Suremain, N, Wicart, Ph, Moulin, F, Benosman, A, Kalifa, G, Coste, J, Adamsbaum, C
• Format: Article
• Language: fre
• Subjects: Adolescent; Arthritis, Infectious - diagnostic imaging; Arthritis, Juvenile - diagnostic imaging; Child; Child, Preschool; Decision Trees; Diagnosis, Differential; Female; Follow-Up Studies; Hip Fractures - diagnostic imaging; Hip Joint - diagnostic imaging; Humans; Infant; Joint Diseases - diagnostic imaging; Male; Movement Disorders - diagnostic imaging; Movement Disorders - etiology; Osteomyelitis - diagnostic imaging; Pelvis - diagnostic imaging; Sensitivity and Specificity; Synovitis - diagnostic imaging; Ultrasonography
• ISSN: 0221-0363
• DOI: 10.1016/S0221-0363(07)89834-9

To evaluate the contribution of sonography of the hip in the management of nontraumatic limping in children. Prospective study including children consulting for nontraumatic limping (n=93). These children had a clinical examination, a biological and imaging workup (pelvis x-rays (n=88), initial sonograph of the hip (n=93), and follow-up sonograph of the hip (n=29)). Ninety-three children (69 boys, 24 girls) aged from 10 months to 13 years (median, 4 years) were included and divided into two groups: The sensitivity and specificity of sonography in establishing a serious diagnosis was 57% and 59%, respectively. The advantage of systematic hip sonography is challenged in this study because of low sensitivity and specificity. Its main advantage seems to be in its negative results, which prompt other investigations.