Illustrative CasesSonography of the Hip-joint by the Emergency Physician: Its Role in the Evaluation of Children Presenting With Acute LimpShavit, Itai MD*; Eidelman, Mark MD†; Galbraith, Roger MD‡Author Information *Pediatric Emergency Department, Rambam Medical Center, Haifa, Israel; †Department of Orthopedics, Meyer Children's Hospital, Rambam Medical Center, Haifa, Israel; ‡Emergency Department, Alberta Children's Hospital, Calgary, Alberta, Canada. Authors declare that they participated as outlined below, have no conflicts of interests, have had access to all data in the study, have held final responsibility for the decision to submit for publication, and have seen and approved the final version of the manuscript. Address correspondence and reprint requests to Itai Shavit, MD, P.O. Box 369, Nahariyya, 22103, Israel. E-mail: email@example.com. Pediatric Emergency Care: August 2006 - Volume 22 - Issue 8 - p 570-573 doi: 10.1097/01.pec.0000230705.51151.40 Buy SDC Metrics Abstract Objective: To describe a new imaging bedside test called Sonography of the Hip-joint by the Emergency Physician (SHEP) and to examine if its use as a triage tool for the presence of fluid in the hip joint can guide the emergency physician to the right diagnosis. Methods: Case series of 5 children presented to the ED with an acute onset of limp. In addition to a careful clinical history and physical examination, each child received SHEP. Results: Follow-up confirmed that the presumptive diagnosis made in the ED was correct. The SHEP tests were found helpful in diagnosing transient synovitis (3 cases), septic arthritis (1 case), and osteomyelitis of the femur (1 case). Conclusions: The SHEP tests provided additional information that narrowed the differential diagnosis, and minimized unnecessary blood tests and diagnostic imaging studies. © 2006 Lippincott Williams & Wilkins, Inc.