Point-of-Care Ultrasound in Diagnosing Pediatric Transient Synovitis

In the pediatric emergency department of Ramban Health Care Campus in Haifa, Isreal, their point-of-care ultrasound (POCUS) decision-support algorithm (DSA) has been found to “accurately identif[y] TS [Transient Synovitis]” in pediatric patients. This was reported in a study published July 13, 2021, in JAMA Network Open.

TS is “a self-limiting disease characterized clinically by acute hip pain. The diagnosis is confirmed by excluding other severe diseases, such as septic arthritis, osteomyelitis, and Legg-Calvé-Perthes disease. Ultrasonography examination frequently reveals hip effusion.”

The authors, Marah Zoabi, BSc, Noa Kvatinsky, MD, and Itai Shavit, MD, write “To our knowledge, this study is the first to suggest a rule-in diagnostic tool for TS, instead of one of exclusion. The traditional approach advocates the use of laboratory tests to differentiate between TS and other serious diseases. In our cohort, only 7.8% of the children underwent blood tests. Avoiding unnecessary blood tests by using the POCUS-DSA can reduce the number of children who undergo venipuncture and minimize pain and distress.”

Point-of-Care Ultrasound is being used in new, innovative ways every day. Pulse ISM partners with a global leader in POCUS innovation: Konica-Minolta. Call or email us today to find out how you can put cutting-edge, easy-to-use, and cost-effective POCUS versatility to work in your facility.