Radiograph evaluation in children with acute hip pain
Radiograph evaluation in children with acute hip pain
Acute hip pain is relatively common in children. The etiology varies according to age and sex. Conventional radiography is commonly used to evaluate the painful hip. The views obtained depend on local departmental protocol, and there is no scientific basis for the choice of preferred projection. The authors' aim was to evaluate the role of anteroposterior (AP) and frog lateral (FL) radiographs in children younger than 14 years of age with hip pain to develop rational, evidence-based investigation guidelines. Four investigators retrospectively reviewed AP and FL radiographs of 96 children. The results were analyzed using the chi-square statistic. Overall results showed a reduction in sensitivity to about 70% and specificity to 90% when using a single view instead of combined views. These results indicate that despite the potential risks of increased radiation exposure with more than one view, combined AP and FL radiographs improve the diagnostic accuracy compared with single views alone. The authors believe that the additional radiation burden is therefore justified.
children, hip, pain, radiology
342-344
Nnadi, Colin
e60987a9-c905-4f42-b4be-60afac4b7969
Chalwa, Tanya
1160d016-8f3b-413d-a666-644b005420e7
Redfern, Andrew
161e4f8b-bbca-4824-9c31-b4f070420b4c
Argent, Julie
981f34f0-b6a7-4545-a3e0-f83657235837
Fairhurst, Joanna
2812ed8e-8598-49bc-8919-52fecd2c0fef
Clarke, Nicholas M.P.
76688c21-d51e-48fa-a84d-deec66baf8ac
May 2002
Nnadi, Colin
e60987a9-c905-4f42-b4be-60afac4b7969
Chalwa, Tanya
1160d016-8f3b-413d-a666-644b005420e7
Redfern, Andrew
161e4f8b-bbca-4824-9c31-b4f070420b4c
Argent, Julie
981f34f0-b6a7-4545-a3e0-f83657235837
Fairhurst, Joanna
2812ed8e-8598-49bc-8919-52fecd2c0fef
Clarke, Nicholas M.P.
76688c21-d51e-48fa-a84d-deec66baf8ac
Nnadi, Colin, Chalwa, Tanya, Redfern, Andrew, Argent, Julie, Fairhurst, Joanna and Clarke, Nicholas M.P.
(2002)
Radiograph evaluation in children with acute hip pain.
Journal of Pediatric Orthopaedics, 22 (3), .
(PMID:11961451)
Abstract
Acute hip pain is relatively common in children. The etiology varies according to age and sex. Conventional radiography is commonly used to evaluate the painful hip. The views obtained depend on local departmental protocol, and there is no scientific basis for the choice of preferred projection. The authors' aim was to evaluate the role of anteroposterior (AP) and frog lateral (FL) radiographs in children younger than 14 years of age with hip pain to develop rational, evidence-based investigation guidelines. Four investigators retrospectively reviewed AP and FL radiographs of 96 children. The results were analyzed using the chi-square statistic. Overall results showed a reduction in sensitivity to about 70% and specificity to 90% when using a single view instead of combined views. These results indicate that despite the potential risks of increased radiation exposure with more than one view, combined AP and FL radiographs improve the diagnostic accuracy compared with single views alone. The authors believe that the additional radiation burden is therefore justified.
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Published date: May 2002
Additional Information:
May/June issue
Keywords:
children, hip, pain, radiology
Identifiers
Local EPrints ID: 190507
URI: http://eprints.soton.ac.uk/id/eprint/190507
ISSN: 0271-6798
PURE UUID: 4dfa9d7d-94b4-4a79-82fc-9cecd6cdf24a
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Date deposited: 14 Jun 2011 11:23
Last modified: 08 Jan 2022 05:36
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Contributors
Author:
Colin Nnadi
Author:
Tanya Chalwa
Author:
Andrew Redfern
Author:
Julie Argent
Author:
Joanna Fairhurst
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