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Related Experiment Video

Updated: May 8, 2026

In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy
07:43

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Published on: July 2, 2021

Radiological approach to a child with hip pain.

N Jain1, M Sah, J Chakraverty

  • 1Department of Radiology, University Hospital of Wales, Cardiff, UK.

Clinical Radiology
|August 14, 2013
PubMed
Summary
This summary is machine-generated.

Diagnosing pediatric hip pain requires careful history and examination to guide imaging. Age and clinical findings help differentiate causes, with radiography and ultrasound often being sufficient.

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Area of Science:

  • Pediatric Radiology
  • Musculoskeletal Imaging

Background:

  • Pediatric hip pain presents diagnostic challenges due to communication barriers in children.
  • Causes include infective, inflammatory, traumatic, neoplastic, and developmental conditions.

Purpose of the Study:

  • To review the diagnostic imaging approach for pediatric hip pain and limp.
  • To illustrate common and rare hip pathologies in children.

Main Methods:

  • Clinical history and physical examination are crucial for directing radiological investigations.
  • Age-specific disease prevalence aids in differential diagnosis.
  • Imaging modalities include plain radiography, ultrasound, MRI, and bone scintigraphy.

Main Results:

  • Plain radiography and ultrasound are often adequate for initial evaluation.
  • Ultrasound allows real-time imaging and guided aspiration.
  • MRI and bone scintigraphy are valuable for complex cases, multifocal disease, and staging.
  • Computed tomography (CT) has limited use due to radiation exposure.

Conclusions:

  • A systematic approach combining clinical assessment and appropriate imaging is essential for diagnosing pediatric hip conditions.
  • Imaging selection should be tailored to the child's age and clinical presentation.