Pediatric Emergency Care

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Pediatric Emergency Care:
doi: 10.1097/PEC.0000000000000113
Ultrasound Case Reviews

Bedside Hip Ultrasonography in the Pediatric Emergency Department: A Tool to Guide Management in Patients Presenting With Limp

Deanehan, Julia MD*; Gallagher, Rachel MD, RDMS; Vieira, Rebecca MD, RDMS; Levy, Jason MD, RDMS

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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.

© 2014 Lippincott Williams & Wilkins, Inc.


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