Ortho Case of the Week – Peds Lower Extremity

Link to quiz

Case 1: A 4-year-old male presents with left hip and knee pain and refuses to bear weight on it. He holds his hip in flexion and external rotation.

  1. What is your differential for this child?
  2. You obtain the ultrasound of his hip below. How can you differentiate transient synovitis from septic arthritis?

3. His ESR comes back at 85 mm/hr and his WBC comes back at 17k. How would you manage this patient?

Case 2: A 15-year-old male presents with atraumatic left hip pain. You obtain the plain film below.

  1. What is the diagnosis?
  2. How would you manage this patient?