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Sonography of the hip and soft tissues of the thigh in children
V A Tran-Minh1, J P Pracros, J Bérard
1Hôpital Debrousse, Université Claude Bernard, Lyon I.
Insights
High-resolution ultrasound effectively diagnoses hip pain and soft tissue issues in children. It is particularly useful for identifying hip joint effusions, suspected osteomyelitis, and thigh soft tissue masses.
Area of Science:
- Pediatric Radiology
- Medical Imaging
- Musculoskeletal Ultrasound
Background:
- High-resolution real-time sonography (ultrasound) is a long-standing imaging modality in pediatric radiology.
- It is utilized for evaluating soft tissues and joints in pediatric patients.
Purpose of the Study:
- To review the primary indications and outcomes of ultrasound (US) in pediatric hip assessment (excluding congenital dislocation/subluxation).
- To examine US applications in evaluating soft tissues of the thigh and groin in children.
- To discuss technical and anatomical factors for optimal imaging of the pediatric hip and thigh.
Main Methods:
- Review of ultrasound indications and results in pediatric hip and thigh evaluations.
- Discussion of technical and anatomical considerations for high-resolution ultrasound imaging.
- Consideration of various pediatric conditions including painful hips and soft tissue masses.
Main Results:
- Ultrasound is a valuable tool for assessing acute hip pain, specifically hip joint effusions.
- It aids in diagnosing suspected osteomyelitis by identifying fluid collections around the femur.
- US is effective in evaluating diverse soft tissue pathologies of the thigh.
Conclusions:
- High-resolution ultrasound is a highly useful imaging modality in pediatric radiology.
- It provides critical diagnostic information for acute pediatric hip pain and suspected osteomyelitis.
- Ultrasound is instrumental in characterizing soft tissue abnormalities in the pediatric thigh and groin.
Abstract:
High-resolution real-time sonography (US) has been used for many years in departments of pediatric radiology to image soft tissues and joints in children. The purpose of this study was to review the main indications and results of US in assessing the hip (except for congenital dislocation and subluxation) and the soft tissues of the thigh and groin in children. The technical and anatomical factors relative to the optimal imaging of the hip joint and thigh muscles are also discussed and a variety of conditions considered, ranging from painful hips to soft tissue masses. In conclusion, high-resolution US emerges as a particularly useful tool in the study of children with acute hip pain (hip joint effusion), suspected osteomyelitis (fluid collection around the femoral saft) and various soft tissue of the thigh.