{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T02:53:44Z","timestamp":1790045624135,"version":"4.0.1"},"reference-count":12,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2013,8,1]],"date-time":"2013-08-01T00:00:00Z","timestamp":1375315200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scott Med J"],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:p>An 18-week-old boy presented to the emergency department with 24-h history of fever and irritability with a painful left hip held in flexion. Blood tests showed an elevated ESR of 65\u2009mm\/h, but white cell count and C-reactive protein were in the reference range. Admission hip ultrasound identified a small effusion (&lt;2\u2009mm at the recess), not large enough to determine turbidity. Joint aspiration under general anaesthesia yielded frank pus and mandated open arthrotomy. Physicians must maintain a high index of suspicion of hip septic arthritis irrespective of ultrasound findings and have a low threshold for joint aspiration. Aspiration \u2018to dryness\u2019 would have left substantial pus within the joint and is consistent with advocating arthrotomy and washout in this age group, when the diagnosis of septic arthritis has been made.<\/jats:p>","DOI":"10.1177\/0036933013496930","type":"journal-article","created":{"date-parts":[[2013,8,19]],"date-time":"2013-08-19T11:34:07Z","timestamp":1376912047000},"page":"e18-e21","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Neonatal hip septic arthritis: ultrasound should not influence decision to aspirate"],"prefix":"10.1177","volume":"58","author":[{"given":"SWJ","family":"Lee","sequence":"first","affiliation":[{"name":"Foundation Year 1, Royal Hospital for Sick Children, Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"GJ","family":"Irwin","sequence":"additional","affiliation":[{"name":"Consultant Paediatric Radiologist, Royal Hospital for Sick Children, Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JS","family":"Huntley","sequence":"additional","affiliation":[{"name":"Consultant Paediatric Orthopaedic Surgeon, Royal Hospital for Sick Children, Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,8,19]]},"reference":[{"key":"bibr1-0036933013496930","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-199709000-00003"},{"key":"bibr2-0036933013496930","first-page":"411","volume":"25","author":"Nimityongskul P","year":"1996","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"bibr3-0036933013496930","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198509263131306"},{"key":"bibr4-0036933013496930","doi-asserted-by":"publisher","DOI":"10.1007\/s004310051243"},{"key":"bibr5-0036933013496930","first-page":"148","volume":"83","author":"Mnif J","year":"1997","journal-title":"Rev Chir Orthop Reparatrice Appar Mot"},{"key":"bibr6-0036933013496930","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.162.3.3544039"},{"key":"bibr7-0036933013496930","doi-asserted-by":"publisher","DOI":"10.1007\/BF02230337"},{"key":"bibr8-0036933013496930","doi-asserted-by":"publisher","DOI":"10.1097\/01.pec.0000230705.51151.40"},{"key":"bibr9-0036933013496930","doi-asserted-by":"publisher","DOI":"10.1097\/01.bpb.0000228388.32184.7f"},{"key":"bibr10-0036933013496930","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2009.06.527"},{"key":"bibr11-0036933013496930","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200205000-00008"},{"key":"bibr12-0036933013496930","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.68B4.3733835"}],"container-title":["Scottish Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0036933013496930","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0036933013496930","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0036933013496930","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T10:15:30Z","timestamp":1777630530000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0036933013496930"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,8]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2013,8]]}},"alternative-id":["10.1177\/0036933013496930"],"URL":"https:\/\/doi.org\/10.1177\/0036933013496930","relation":{},"ISSN":["0036-9330","2045-6441"],"issn-type":[{"value":"0036-9330","type":"print"},{"value":"2045-6441","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,8]]}}}