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Hip Pain in Children.

Ayla Yagdiran1, Kourosh Zarghooni, Jörg Oliver Semler

  • 1Department of Orthopedics and Trauma Surgery, University Hospital Cologne; Department of Pediatrics, University Hospital Cologne.

Deutsches Arzteblatt International
|February 20, 2020
PubMed
Summary
This summary is machine-generated.

Prompt diagnosis of pediatric hip pain is crucial. Early identification of causes like coxitis or Perthes disease prevents long-term complications in children.

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Area of Science:

  • Pediatric Orthopedics
  • Pediatric Rheumatology

Background:

  • Pediatric hip pain is a common clinical presentation, affecting 148 per 100,000 individuals annually.
  • It presents a diagnostic challenge for pediatricians, orthopedists, and general practitioners.

Purpose of the Study:

  • To review the differential diagnosis and diagnostic approaches for atraumatic hip pain in children.
  • To emphasize the importance of early diagnosis for preventing adverse outcomes.

Main Methods:

  • A selective literature search was conducted in the PubMed database up to April 2019.
  • Included publications comprised case reports and review articles.

Main Results:

  • Infants may present with purulent coxitis, diagnosed via blood tests and ultrasonography.
  • Older children exhibit painful hip restriction, limping, or inability to walk; differential diagnoses include transient synovitis and Legg-Calvé-Perthes disease.
  • Adolescents may have slipped capital femoral epiphysis (SCFE); bone tumors and rheumatic diseases are also considered.
  • Initial diagnostics involve X-rays and ultrasound; CT or MRI are indicated for suspected tumors.

Conclusions:

  • Timely diagnosis of the underlying cause of pediatric hip pain is essential.
  • Early intervention can mitigate long-term sequelae and improve patient outcomes.