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Pediatr Emerg Care. 2014 Apr;30(4):285-7. doi: 10.1097/PEC.0000000000000113.

Bedside hip ultrasonography in the pediatric emergency department: a tool to guide management in patients presenting with limp.

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1
From the *Division of Pediatric Emergency Medicine, Johns Hopkins Children's Center, Johns Hopkins Medical School, Baltimore, MD; †Division of Emergency Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA.

Abstract

We present a case of a 3-year-old girl brought to the emergency department for evaluation of limp after falling off the monkey bars 1 day prior. X-rays of the entire left lower extremity were normal with no evidence of fracture, dislocation, or effusion. Point-of-care ultrasound of the left hip demonstrated a hip effusion, which prompted further imaging, ultimately revealing an occult fracture of the left proximal femoral metaphysis. This case demonstrates the ability of point-of-care ultrasound to guide the management of patients presenting to the pediatric emergency department with musculoskeletal complaints.

PMID:
24694889
DOI:
10.1097/PEC.0000000000000113
[Indexed for MEDLINE]
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