Can decreased femoral head enhancement differentiate between septic hip arthritis and transient synovitis?
Decreased femoral head enhancement does not reliably distinguish septic arthritis from transient synovitis. Relying on this finding alone may lead to unnecessary interventions in children with transient synovitis. Muscle edema and bone marrow edema may support the diagnosis of septic arthritis. Clinical evaluation and inflammatory markers remain critical in guiding decisions for hip aspiration.
Authors
- Erika Daley (ORCID: https://orcid.org/0000-0001-6194-7335)
- Monica M. Forbes-Amrhein
- W. Schmahl
- Christopher L. Newman (ORCID: https://orcid.org/0000-0001-6476-4470)
- Andrea M E Palazzolo Ray
- Boaz Karmazyn (ORCID: https://orcid.org/0000-0003-1674-1789)
- S. Gregory Jennings (ORCID: https://orcid.org/0000-0003-3762-7336)
- George J. Eckert (ORCID: https://orcid.org/0000-0002-6699-6600)
Institutions
- Northwestern University (US)
- Indiana University Hospital (US)
- Riley Hospital for Children (US)
- Indiana University – Purdue University Indianapolis (US)
Publication Details
- Journal
- Skeletal Radiology
- Published
- 2025-08-12
- DOI
- https://doi.org/10.1007/s00256-025-05013-1
- Primary Topic
- Orthopedic Infections and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00