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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

doi: 10.1097/PEC.0000000000000113
Ultrasound Case Reviews

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.

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.

Disclosure: The authors declare no conflict of interest.

Reprints: Julia Deanehan, MD, Division of Pediatric Emergency Medicine, Johns Hopkins Children’s Center, 1800 Orleans Street, Rm 1511, Baltimore, MD 21287 (e-mail:

© 2014 Lippincott Williams & Wilkins, Inc.