Last reviewed: November 2017
Last updated: June  2016

Summary

Definition

History and exam

Key diagnostic factors

  • presence of risk factors
  • limp
  • limited range of motion at the hip joint

Other diagnostic factors

  • short stature
  • muscle wasting
  • hyperactivity
  • Trendelenburg's sign
  • synovitis
  • knee pain
  • thigh pain
  • groin/buttock pain
  • asymmetric limb length
  • minor trauma

Risk factors

  • male sex
  • age 4 to 8 years
  • socio-economic deprivation
  • hyper-coagulable states
  • urban population
  • Eskimos, Japanese, some central European races
  • transient hip synovitis
  • hip joint effusion
  • passive smoking
  • skeletal dysplasias
  • congenital anomalies
  • trisomy 21
  • behaviour disorders
  • endocrinopathy

Diagnostic investigations

Investigations to consider

  • FBC
  • serum ESR
  • serum C-reactive protein
  • bone scintigraphy
  • MRI of hips
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Consultant Orthopaedic Surgeon

Nuffield Orthopaedic Centre

Oxford

UK

Disclosures

AW declares that he has no competing interests.

Consultant Paediatric Orthopaedic Surgeon

Bristol Royal Children’s Hospital

Bristol

UK

Disclosures

DK declares that she has no competing interests.

Andrew Wainwright and Dominique Knight would like to acknowledge Jwalant S. Mehta and Sandeep Hemmadi, who wrote the original monograph and whose work is largely reflected in the current version. JSM and SH declare that they have no competing interests.

Peer reviewers VIEW ALL

Consultant Orthopaedic and Paediatric Orthopaedic Surgeon

Llandough Hospital

Vale of Glamorgan

UK

Disclosures

PT declares that he has no competing interests.

Associate Professor of Orthopaedic Surgery

Children's Hospital

Boston

MA

Disclosures

Not declared.

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