小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 活动受限
- 疼痛
- 跛行
- 滚动试验结果为阳性
其他诊断因素
- 髋关节外翻和外旋
- 发热
危险因素
- 2 至 12 岁
- 男性
- 近期病毒性疾病史
诊断性检查
首要检查
- 全血细胞计数 (FBC）
- 红细胞沉降率
- C 反应蛋白 (CRP)
- X 光
需考虑的检查
- 超声
- 增强核磁共振成像检查
治疗流程
所有患者
撰稿人
作者
Ishaan Swarup, MD, FAAOS, FAAP
Assistant Professor of Clinical Orthopaedic Surgery
Director, Pediatric Orthopaedic Trauma
Associate Fellowship Director, Pediatric Orthopaedic Surgery
University of California
San Francisco
CA
利益声明
IS is the author of a reference cited in this topic.
鸣谢
Dr Ishaan Swarup would like to gratefully acknowledge Professor James McCarthy and Dr Jaime Denning, previous contributors to this topic.
利益声明
JM is a board member for the Pediatric Orthopaedic Society of North America. He has given workshops at annual teaching meetings for DePuy Synthes, received royalties from Lippincott Williams & Wilkins for editing a book, and received grant and travel money from Nuvasive. JM has worked as a consultant for Nuvasive within the past 5 years, and frequently gives academic ground rounds lectures. JD declares that she has no competing interests.
同行评议者
Norm Otsuka, MD
Assistant Chief of Staff
Shriners Hospital for Children
Los Angeles
CA
利益声明
NO declares that he has no competing interests.
Michael Smith, MB, BChir, FRCS
Consultant Orthopaedic Surgeon
Department of Orthopaedics
Guy's & St Thomas' Hospital
London
UK
利益声明
MS declares that he has no competing interests.
Peter Cundy, MBBS, FRACS
Head of Orthopaedic Surgery
Women's & Children's Hospital
Adelaide
Australia
利益声明
PC declares that he has no competing interests.
鉴别诊断
- 化脓性关节炎
- 莱姆关节炎
- 骨髓炎
更多 鉴别诊断指南
- ACR 适用性标准：突然发生跛行的 5 岁及以下儿童
更多 指南
登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容
内容使用需遵循免责声明