1887
Volume 2000, Issue 2
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

In order to study the specificity and the sensitivity of a locally produced scoring system to differentiate between septic arthritis and transient synovitis at initial presentation, the records of 33 cases of irritable hip, 24 males and nine females, in the Pediatric departments of King Hussein Medical Center and Prince Rashid Military Hospital, Jordan, were reviewed retrospectively. Septic arthritis was diagnosed in nine patients all of whom scored nine or above; none were missed with false low scores. The sensitivity and specificity for this local scoring system were calculated to be 100% and 91.66% respectively. The positive predictive value was 81.81%.

Conclusion: There is a significant overlap in the temperature; erythrocyte sedimentation rate and WBC count in children with toxic synovitis and septic arthritis of the hip. We found our local scoring system useful in predicting the patients at high or moderate risk of septic arthritis thus avoiding unnecessary invasive investigations and unjustified prolonged admissions and antimicrobial treatment.

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2000-12-01
2020-10-27
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References

  1. Adams JA. Transient synovitis of the hip joint in children. J Bone Joint Surg. 1963; 45:B:471476.
    [Google Scholar]
  2. Spok A. Transient synovitis of the hip joint in children. Pediatrics. 1959; 24::10421049.
    [Google Scholar]
  3. Briggs RD, Baird KS, Gibson PH. Transient synovitis of the hip joint. J R Coll Surg Edinb. 1990; 35::4850.
    [Google Scholar]
  4. Sharwood PF. The irritable hip syndrome in children: A long term follow-up. Acta Orthop Scand. 1981; 52::633638.
    [Google Scholar]
  5. Bickerstaff DR, Neal LM, Brennan PO, et al., An investigation into the etiology of irritable hip. Clin Pediatric. 1991; 30::353356.
    [Google Scholar]
  6. Kallio P, Ryoppy S, Kunnamo I. Transient synovitis and Perth's disease: Is there an etiological connection? J Bone Joint Surg. 1986; 68:B:808811.
    [Google Scholar]
  7. Borella L, Goobar JE, Summitt RL, et al., Septic arthritis in childhood. J Pediatric. 1963;:742747.
    [Google Scholar]
  8. Paterson DC. Acute suppurative arthritis in infancy and childhood. J Bone Joint Surg. 1970; 52:B:474482.
    [Google Scholar]
  9. Paterson D. Septic arthritis of the hip joint. Orthop Clin North Am. 1978; 9::135142.
    [Google Scholar]
  10. Edwards EG. Transient synovitis of the hip joint in children: Report of thirteen cases. JAMA. 1952; 148::3034.
    [Google Scholar]
  11. Jacobs BW. Synovitis of the hip in children and its significance. Pediatrics. 1971; 47::558566.
    [Google Scholar]
  12. Goldenberg DL. Bacterial arthritis. Curr Opin Rheumatol. 1994; 6::394400.
    [Google Scholar]
  13. Schulak DJ, Ray hack JM, Lippert FG, et al., The erythrocyte sedimentation rate in orthopedic patients. Clin Orthop. 1982; 167::197202.
    [Google Scholar]
  14. Kunnamo I, Kallio P, Pelkonen P, et al., Clinical signs and laboratory tests in the differential diagnosis of arthritis in children. AM J Dis Child. 1987; 141::3440.
    [Google Scholar]
  15. Hardinge K. The etiology of transient synovitis of the hip in childhood. J Bone Joint Surg. 1970; 52B::100107.
    [Google Scholar]
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