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In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy
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Hip pain in childhood.

Sariane Coelho Ribeiro1, Kaline Silva Santos Barreto1, Catarina Borges Santana Alves2

  • 1UDI 24 horas, Teresina, PI, Brazil.

Radiologia Brasileira
|April 22, 2020
PubMed
Summary

Diagnosing childhood hip pain is complex due to various causes like infection or trauma. This article guides radiological investigations for effective diagnosis of pediatric hip conditions.

Keywords:
AdolescentArthritis, juvenileChildChild, preschoolHip dislocation, congenitalHip jointPain/etiology

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Area of Science:

  • Pediatric Orthopedics
  • Pediatric Radiology
  • Pediatric Rheumatology

Background:

  • Childhood hip pain presents a diagnostic challenge due to its diverse etiology.
  • Causes include infectious, inflammatory, traumatic, neoplastic, and developmental conditions.
  • Accurate diagnosis relies on thorough patient history and clinical assessment.

Purpose of the Study:

  • To review the primary causes of hip pain in children.
  • To correlate clinical findings with diagnostic imaging results.
  • To aid clinicians in investigating pediatric hip pain.

Main Methods:

  • Review of common pediatric hip pathologies.
  • Correlation of clinical presentation with imaging findings (radiography, ultrasound, MRI).
  • Discussion of diagnostic algorithms.

Main Results:

  • Infectious causes (e.g., septic arthritis, osteomyelitis) often show specific imaging signs.
  • Inflammatory conditions (e.g., transient synovitis, juvenile idiopathic arthritis) have characteristic imaging features.
  • Traumatic, neoplastic, and developmental abnormalities present with distinct radiological findings.

Conclusions:

  • A systematic approach combining clinical evaluation and targeted imaging is crucial.
  • Radiological imaging plays a vital role in identifying the underlying cause of pediatric hip pain.
  • Early and accurate diagnosis through imaging improves patient outcomes.