Kocher criteria for a child with a painful hip, suspected to have septic arthritis: 1) non-weight-bearing on affect side 2) sedimentation rate greater than 40 mm/hr 3) fever 4) WBC >12,000 Criteria met and probability child has septic arthritis 4/4 -- 99% 3/4 -- 93% 2/4 -- 40% 1/4 -- 3% See: Kocher etal. Validation of a Clinical Prediction Rule for the Differentiation Between Septic Arthritis and Transient Synovitis of the Hip in Children. The Journal of Bone and Joint Surgery (American) 86:1629-1635 (2004). http://www.ejbjs.org/cgi/content/abstract/86/8/1629 |
