Sonographic findings associated with complications in pediatric patients with septic arthritis.

IF 1.2 4区医学 Q3 ACOUSTICS

Journal of Clinical Ultrasound Pub Date : 2024-09-16 DOI:10.1002/jcu.23836

Takahiro Hosokawa, Yumiko Sato, Yutaka Tanami, Eiji Oguma

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引用次数: 0

Abstract

Objectives: Ultrasound is a valuable tool for diagnosing septic arthritis and guiding the development of treatment plans. This study aimed to identify sonographic findings associated with complications in septic arthritis.

Methods: Twelve patients aged <5 years diagnosed with septic arthritis were classified into two groups: those with and without complications. Complications were defined as the destruction of the epiphyseal bone head and metaphysis bone cortex. The following sonographic findings were compared between the two groups using Fisher's exact test: synovial membrane thickness, joint effusion, diminished hyperechoic foci within the epiphyseal bone head, and diminished smooth metaphyseal bone cortex.

Results: Overall, 4 of 12 patients developed complications. Joint effusion and synovial membrane thickening were detected in all patients with septic arthritis. The incidence of diminished hyperechoic foci within the epiphyseal bone head was significantly different between the two groups (presence/absence in patients with complications vs. without = 3/1 vs. 0/8, p = 0.018). The incidence of diminished smooth metaphyseal bone cortex was higher in patients with complications than in those without; however, this difference was not statistically significant (presence/absence in patients with complications vs. without = 4/0 vs. 3/5, p = 0.081).

Conclusion: Ultrasound proved to be an effective diagnostic tool for septic arthritis and also demonstrated its potential in predicting complications of septic arthritis in the pediatric population.

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与化脓性关节炎儿科患者并发症相关的超声波检查结果。

目的：超声波是诊断化脓性关节炎和指导制定治疗方案的重要工具。本研究旨在确定与化脓性关节炎并发症相关的超声波检查结果：结果：12 名患者中有 4 名出现了并发症：结果：12 名患者中有 4 人出现并发症。所有化脓性关节炎患者均发现关节积液和滑膜增厚。两组患者骨骺头内高回声减弱病灶的发生率有显著差异（出现/不出现并发症患者=3/1 vs. 0/8，P=0.018）。有并发症的患者骺端骨皮质光滑度降低的发生率高于无并发症的患者，但这一差异无统计学意义（有并发症的患者与无并发症的患者存在/不存在=4/0 vs. 3/5，P = 0.081）：结论：超声波被证明是化脓性关节炎的有效诊断工具，同时也证明了它在预测小儿化脓性关节炎并发症方面的潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Ultrasound 医学-核医学

CiteScore

1.90

自引率

0.00%

发文量

248

审稿时长

6 months

期刊介绍： The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.