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Can emergency physicians do a paediatric hip ultrasound to detect effusion?

Three Part Question

In [paediatric patients presenting with a non-traumatic limp] can [the emergency physician do a hip ultrasound] to [identify effusion]

Clinical Scenario

A 5yr old boy is brought to the ED on a Saturday afternoon with a 2 day H/O nontraumatic limp and you want to rule out effusion of the hip joint. He has to wait till Monday morning for a hip ultrasound by the radiologist and you wonder whether an emergency physician can do a paediatric hip ultrasound to rule out effusion

Search Strategy

Medline using National library of health interface
and Cochrane library OR] AND [ AND] LIMIT to: publication year 1966-2008 and humans and age group all child 0-18 years and English language

[hip ultrasound] AND [paediatric]

Search Outcome

55 papers found in Medline and 9 papers in Cochrane, none relevant


There is no direct evidence that can assist in answering this question

Editor Comment

A structured training program in musculoskeletal ultrasound for emergency medicine trainees may be a solution so as to increase the skill base plus providing definitive care for patients

Clinical Bottom Line

Consensus guidelines should be followed