Septic Hip

[blackavar]

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Quick question for the masses...We had an adult patient who we were concerned for a septic hip, got tapped by ortho using fluoroscopy, ended up having group A strept growing in his joint...in any case, I'm presenting the case for a case report and there seems to be a pretty big wide range as to who taps a hip joint. The text books I took a look at ranged from EPs and radiologist using ultrasound to ortho using fluoro to IR using CT guidance. I was wondering what others experience with this was, who taps your hips where you are?

 

[Apollyon]

I've never tapped a hip, and don't plan on it.

It's anecdotal, but, everywhere I've been, ortho did the hip taps. At the same time, I've only seen kids get their hips tapped.

 

[Hamhock]

I'm pretty hard-core EM...but I wouldn't suggest EM-docs tap hips...unless very skilled with UTS and there's a huge effusion.

Even I admit, this is a case for an early consult.

HH

 

[pinipig523]

How was it that I was not around for this septic hip?

What was the presentation blackavar?