Journal of pediatric orthopedics
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The purpose of this study was to determine the test characteristics of C-reactive protein (CRP) in the diagnosis of septic arthritis in children and to compare with erythrocyte sedimentation rate (ESR). The authors reviewed patients with synovial fluid aspiration sent for culture and Gram stain for whom a CRP was drawn within 24 hours of presentation. Descriptive statistics and univariate analyses were performed. ⋯ In comparison to ESR, CRP is a better independent predictor of disease. CRP is a better negative predictor than a positive predictor of disease. Indeed, if the CRP is <1.0 mg/dL, the probability that the patient does not have septic arthritis is 87%.
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A characteristic hand friction burn secondary to a treadmill fitness machine has been seen in fourteen pediatric patients. This retrospective review looks at mechanism of injury, digit(s) involved, depth of burn, initial treatment, time to referral and its effect on the final result, and the need and results of definitive treatment. Based on our findings, certain recommendations are made to avoid potential sequela due to this hand friction burn.