Usefulness of MRI in Differentiating Between Septic Arthritis and Transient Synovitis in the Hip Joint | ||||
| Sohag Medical Journal | ||||
| Article 47, Volume 21, Issue 3, October 2017, Page 405-411 PDF (123.77 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/smj.2017.41255 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Mahmoud Youssef Abd-Elhamid1; Mohammad Tharwat Solyman2; Anis Shiha3; Khaled F Zaky4 | ||||
| 1Department of Radiology, Faculty of Medicine, Sohag University. | ||||
| 2Department of Radiology; faculty of medicine; Sohag University. | ||||
| 3Department of Orthopedics, Faculty of Medicine, Sohag University. | ||||
| 4Department, of Radiology, sohag Faculty of Medicine. | ||||
| Abstract | ||||
| Septic arthritis and transient synovitis are the two most common diseases among young patients with acute hip pain. The purpose of this study is to assess the efficacy and diagnostic accuracy of Magnetic Resonance Imaging in differentiating between septic arthritis and transient synovitis. This study included 25 patients; the final diagnosis by culture and sensitivity was 16 septic arthritis and 9 patient was diagnosed as transient synovitis. We found that sensitivity and specificity of post contrast MRI with fat suppression for differentiation between septic arthritis and transient synovitis are 100%. | ||||
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| References | ||||
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1.Bennett OM, Namnyak SS. Acute septic arthritis of the hip joint in infancy and childhood. Clin Orthop Relat Res 1992 : 123-132
2.Bennett OM, Namnyak SS. Acute septic arthritis of the hip joint in infancy and childhood. Clin Orthop Relat Res 1992; 123–132
3.Caird MS, Flynn JM, Leung YL, Millman JE, D’Italia JG, Dormans JP. Factors distinguishing septic arthritis from transient synovitis of the hip in children: a prospective study. J Bone Joint Surg Am 2006; 88:1251–1257 21. Klein DM, Barbera C, Gray ST, Spero CR, Perrier G, Teicher JL. Sensitivity of objective parameters in the diagnosis of pediatric septic hips. Clin Orthop Relat Res 1997; 153–159 4.Del Beccaro MA, Champoux AN, Bockers T, Mendelman PM. Septic arthritis versus transient synovitis of the hip: the value of screening laboratory tests. Ann Emerg Med 1992; 21:1418-1422
5.Del Beccaro MA, Champoux AN, Bockers T, Mendelman PM. Septic arthritis versus transient synovitis of the hip: the value of screening laboratory tests. Ann Emerg Med 1992; 21:1418–1422
6.Do TT. Transient synovitis as a cause of painful limps in children. Curr Opin Pediatr 2000; 12:48-51
7.Dzioba RB, Barrington TW. Transient monoarticular synovitis of the hip joint in adults. Clin Orthop Relat Res 1977 : 190-192
8.Hopkins KL, Li KC, Bergman G. Gadolinium-DTPA-enhanced magnetic resonance imaging of musculoskeletal infectious processes. Skeletal Radiol 1995; 24:325-330
9.Jung ST, Rowe SM, Moon ES, Song EK, Yoon TR, Seo HY. Significance of laboratory and radiologic findings for differentiating between septic arthritis and transient synovitis of the hip. J Pediatr Orthop 2003; 23:368-372
10.Jung ST, Rowe SM, Moon ES, Song EK, Yoon TR, Seo HY. Significance of laboratory and radiologic findings for differentiating between septic arthritis and transient synovitis of the hip. J Pediatr Orthop 2003; 23:368–372
11.Kesteris U, Wingstrand H, Forsberg L, Egund N. The effect of arthrocentesis in transient synovitis of the hip in the child: a longitudinal sonographic study. J Pediatr Orthop 1996; 16:24
12.Kocher MS, Zurakowski D, Kasser JR. Differentiating between septic arthritis and transient synovitis of the hip in children: an evidence-based clinical prediction algorithm. J Bone Joint Surg Am 1999; 81:1662-1670
13.Kocher MS, Zurakowski D, Kasser JR. Differentiating between septic arthritis and transient synovitis of the hip in children: an evidence-based clinical prediction algorithm. J Bone Joint Surg Am 1999; 81:1662–1670
14.Lee SK, Suh KJ, Kim YW, et al. Septic arthritis versus transient synovitis at MR imaging: preliminary assessment with signal intensity alterations in bone marrow. Radiology 1999; 211:459-465
15.Lee SK, Suh KJ, Kim YW, et al. Septic arthritis versus transient synovitis at MR imaging: preliminary assessment with signal intensity alterations in bone marrow. Radiology 1999; 211:459–465
16.Luhmann SJ, Jones A, Schootman M, Gordon JE, Schoenecker PL, Luhmann JD. Differentiation between septic arthritis and transient synovitis of the hip in children with clinical prediction algorithms. J Bone Joint Surg Am 2004; 86:956-962
17.Luhmann SJ, Jones A, Schootman M, Gordon JE, Schoenecker PL, Luhmann JD. Differentiation between septic arthritis and transient synovitis of the hip in children with clinical prediction algorithms. J Bone Joint Surg Am 2004; 86-A:956–962
18.Morrey BF, Bianco AJ, Rhodes KH. Suppurative arthritis of the hip in children. J Bone Joint Surg Am 1976; 58:388-392
19.Morrey BF, Bianco AJ, Rhodes KH. Suppurative arthritis of the hip in children. J Bone Joint Surg Am 1976; 58:388–392
20.Quintos-Macasa AM, Serebro L, Menon Y. Transient synovitis of the hip in an adult. South Med J 2006; 99:184-185
21.Quintos-Macasa AM, Serebro L, Menon Y. Transient synovitis of the hip in an adult. South Med J 2006; 99:184–185
22.Yang; WJ, Im; SA, Lim; GY , Chun; HJ , Jung; NY , Sung; MS, Choi; BG.: MR imaging of transient synovitis: differentiation from septic arthritis. Pediatric Radiology, November 2006, Volume36, Issue 11, pp 1154–1158. | ||||
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