Last reviewed: November 2017
Last updated: September  2017

Summary

Definition

History and exam

Key diagnostic factors

  • limited movement
  • pain
  • limp
  • positive log roll

Other diagnostic factors

  • abducted and externally rotated hip
  • fever

Risk factors

  • 2 to 12 years of age
  • male sex
  • history of recent upper respiratory infection

Diagnostic investigations

1st investigations to order

  • CBC
  • ESR
  • CRP
  • radiograph
Full details

Investigations to consider

  • ultrasound
  • MRI with contrast
Full details

Treatment algorithm

ACUTE

Contributors

Authors VIEW ALL

Division Director

Department of Orthopaedic Surgery

Alvin H. Crawford Chair of Pediatric Orthopaedic Surgery

Professor

University of Cincinnati Department of Orthopaedic Surgery

Cincinnati Children’s Hospital Medical Center

Cincinnati

OH

Disclosures

JM is a board member for POSNA. He works as a paid and/or unpaid consultant for OrthoPediatrics, Johnson & Johnson, and Synthes, and has received grant funding for research through NuVasive. He receives royalties from Lippincott. None are relevant to this topic.

Assistant Professor

Orthopaedic Surgery

Cincinnati Children’s Hospital Medical Center

Cincinnati

OH

Disclosures

JD declares that she has no competing interests.

Peer reviewers VIEW ALL

Assistant Chief of Staff

Shriners Hospital for Children

Los Angeles

CA

Disclosures

NO declares that he has no competing interests.

Consultant Orthopaedic Surgeon

Department of Orthopaedics

Guy's & St Thomas' Hospital

London

UK

Disclosures

MS declares that he has no competing interests.

Head of Orthopaedic Surgery

Women's & Children's Hospital

Adelaide

Australia

Disclosures

PC declares that he has no competing interests.

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