{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T02:58:42Z","timestamp":1783479522284,"version":"3.55.0"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,2]]},"abstract":"\n Purpose of review<\/jats:title>\n To review the clinical diagnosis, management and natural history of septic arthritis of the hip (SAH) in the pediatric patient, and to highlight new information that may improve the management of these patients.<\/jats:p>\n <\/jats:sec>\n \n Recent findings<\/jats:title>\n The basics of management of possible pediatric SAH have remained largely unchanged for generations. New questions have been raised regarding the role and timing of advanced imaging (MRI) in the evaluation of patients with possible SAH. Published criteria have been derived to guide the need for MRI studies in these patients. Validation of these guidelines continues. Recent reviews have highlighted the possibility of Lyme disease as a potential cause of monoarticular pediatric hip pain. The role of PCR technology in the diagnosis and management of SAH remains unclear at this time.<\/jats:p>\n <\/jats:sec>\n \n Summary<\/jats:title>\n The child with a limp remains a common and urgent clinical concern. There may be expanded roles for MRI and PCR to better diagnose and treat the involved joint itself, as well as any associated nonarticular area of infection. Lyme disease should remain on the list of possible differential diagnoses in this population, particularly in geographic areas where the disease vector is known to be endemic.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/mop.0000000000000703","type":"journal-article","created":{"date-parts":[[2018,11,21]],"date-time":"2018-11-21T05:50:38Z","timestamp":1542779438000},"page":"79-85","source":"Crossref","is-referenced-by-count":28,"title":["Septic arthritis of the pediatric hip: update on diagnosis and treatment"],"prefix":"10.1097","volume":"31","author":[{"given":"James F.","family":"Mooney","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert F.","family":"Murphy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20230918","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1016\/S0891-5520(20)30351-2","article-title":"Epidemiology in bone and joint infection","volume":"4","author":"Gillespie","year":"1990","journal-title":"Infect Dis Clin North Am"},{"key":"R2-20230918","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1097\/BPO.0b013e318186eb4b","article-title":"The impact of the current epidemiology of pediatric musculoskeletal infection on evaluation and treatment guidelines","volume":"28","author":"Gafur","year":"2008","journal-title":"J Pediatr Orthop"},{"key":"R3-20230918","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1097\/01241398-198501000-00020","article-title":"Group A streptococcal postvaricella osteomyelitis","volume":"5","author":"Griebel","year":"1985","journal-title":"J Pediatr Orthop"},{"key":"R4-20230918","first-page":"479","article-title":"Cartilage destruction in experimentally produced Staphylococcus aureus joint infections: in vivo study","volume":"24","author":"Daniel","year":"1973","journal-title":"Surg Forum"},{"key":"R5-20230918","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.2106\/00004623-198769070-00015","article-title":"The effect of antibiotics on the destruction of cartilage in experimental infectious arthritis","volume":"69","author":"Smith","year":"1987","journal-title":"J Bone Joint Surg Am"},{"key":"R6-20230918","doi-asserted-by":"crossref","first-page":"249","DOI":"10.5435\/00124635-199709000-00003","article-title":"Septic Arthritis of the Hip in Children","volume":"5","author":"Sucato","year":"1997","journal-title":"J Am Acad Orthop Surg"},{"key":"R7-20230918","doi-asserted-by":"crossref","first-page":"830857","DOI":"10.1155\/2014\/830857","article-title":"False-negative rate of gram-stain microscopy for diagnosis of septic arthritis: suggestions for improvement","volume":"2014","author":"Stirling","year":"2014","journal-title":"Int J Microbiol"},{"key":"R8-20230918","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1097\/BPO.0000000000000411","article-title":"The clinical usefulness of polymerase chain reaction as a supplemental diagnostic tool in the evaluation and the treatment of children with septic arthritis","volume":"36","author":"Carter","year":"2016","journal-title":"J Pediatr Orthop"},{"key":"R9-20230918","doi-asserted-by":"crossref","first-page":"1662","DOI":"10.2106\/00004623-199912000-00002","article-title":"Differentiating between septic arthritis and transient synovitis of the hip in children: an evidence-based clinical prediction algorithm","volume":"81","author":"Kocher","year":"1999","journal-title":"J Bone Joint Surg Am"},{"key":"R10-20230918","doi-asserted-by":"crossref","first-page":"1629","DOI":"10.2106\/00004623-200408000-00005","article-title":"Validation of a clinical prediction rule for the differentiation between septic arthritis and transient synovitis of the hip in children","volume":"86-A","author":"Kocher","year":"2004","journal-title":"J Bone Joint Surg Am"},{"key":"R11-20230918","doi-asserted-by":"crossref","first-page":"1251","DOI":"10.2106\/JBJS.E.00216","article-title":"Factors distinguishing septic arthritis from transient synovitis of the hip in children. 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