Differentiation of psoas muscle abscess from septic arthritis of the hip in children.

摘要: A 20-year review was conducted of children presenting with psoas abscess at two major pediatric hospitals. Eleven abscesses were identified. The extreme variability in the clinical presentation this condition is shown. Psoas most difficult to differentiate from septic arthritis hip patients. This study also shows often circuitous investigative route traversed before arriving diagnosis abscess. Atypical features, such as femoral nerve neurapraxia or bladder irritability association pain, should alert clinician consider Based on study, a diagnostic algorithm between and formulated.