Hip arthrocentesis may be performed by either an anterior or a medial approach. Due to the belief that patients, particularly children, with a septic hip should undergo open surgical assessment and drainage, an orthopedic consultant performs this procedure.3 Controversy exists regarding the utility of ultrasound, bone scan, or magnetic resonance imaging as a screening test prior to open surgical evaluation. 1 I4 Immediate consultation with orthopedics is therefore desirable when a diagnosis of septic hip is considered.

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