Please confirm topic selection

Are you sure you want to trigger topic in your Anconeus AI algorithm?

Please confirm action

You are done for today with this topic.

Would you like to start learning session with this topic items scheduled for future?

Updated: Dec 22 2021

Transient Synovitis of Hip

Images synovitis us.jpg
  • Snapshot
    • A 7-year-old boy presents with 1 week of subjective low grade fevers and sudden onset right hip pain. His parents noticed a new limp in the past few days. They also report that the patient had a recent upper respiratory infection about 2 weeks ago. Physical exam reveals a crying but otherwise well-appearing child. He has a temperature of 100.0°F (37.8°C). There is limited range of motion of the right hip.
  • Introduction
    • Clinical definition
      • benign transient synovitis of the hip, often characterized by acute hip pain
  • Epidemiology
    • Demographics
      • male > female
      • children 3-8 years of age
        • this is the most common cause of acute hip pain in this age group
        • uncommon in adults
    • Risk factors
      • preceding viral infection
  • Etiology
    • Pathogenesis
      • sterile synovial inflammation and joint effusion
  • Presentation
    • Symptoms
      • acute-onset limp or refusal to bear weight
      • acute hip or groin pain
    • Physical exam
      • well-appearing child
      • limping on the affected side
      • may have limited range of motion of the hip due to effusion
      • may have tenderness to palpation
  • Imaging
    • Radiography
      • indication
        • only indicated if there is suspicion for other hip pathology, such as Legg-Calve-Perthes disease
      • recommend views
        • anteroposterior pelvis
        • lateral views of both hips
      • findings
        • normal findings or joint space widening
  • Studies
    • Making the diagnosis
      • most cases are clinically diagnosed
  • Differential
    • Septic arthritis
      • distinguishing factors
        • the child is typically ill-appearing and febrile
        • elevated white blood cell count
    • Legg-Calve-Perthes disease
      • distinguishing factors
        • physical exam often reveals atrophy in the thighs and leg asymmetry
        • radiography shows sclerosis in the femoral head
  • Treatment
    • Conservative
      • rest and observation
        • indication
          • for all patients
    • Medical
      • nonsteroidal anti-inflammatory drugs
        • indication
          • pain management
  • Complications
    • None
  • Prognosis
    • Typically resolves within 1 week
1 of 0
1 of 2
Private Note

Attach Treatment Poll
Treatment poll is required to gain more useful feedback from members.
Please enter Question Text
Please enter at least 2 unique options
Please enter at least 2 unique options
Please enter at least 2 unique options