Transient synovitis of the hip

Last reviewed: 2 Jun 2022
Last updated: 30 Oct 2018

Summary

Definition

History and exam

Key diagnostic factors

  • presence of risk factors
  • limited movement
  • pain
  • limp
  • positive log roll
More key diagnostic factors

Other diagnostic factors

  • abducted and externally rotated hip
  • fever
Other diagnostic factors

Risk factors

  • 2 to 12 years of age
  • male sex
  • history of recent upper respiratory infection
More risk factors

Diagnostic investigations

1st investigations to order

  • FBC
  • erythrocyte sedimentation rate
  • CRP
  • x-ray
More 1st investigations to order

Investigations to consider

  • ultrasound
  • MRI with contrast
More investigations to consider

Treatment algorithm

ACUTE

all patients

Contributors

Authors

James McCarthy, MD

Division Director

Department of Orthopaedic Surgery

Alvin H. Crawford Chair of Pediatric Orthopaedic Surgery

Professor

University of Cincinnati Department of Orthopaedic Surgery

Cincinnati Children’s Hospital Medical Center

Cincinnati

OH

Disclosures

JM is a board member for the Pediatric Orthopaedic Society of North America. He has given workshops at annual teaching meetings for DePuy Synthes, received royalties from Lippincott Williams & Wilkins for editing a book, and received grant and travel money from Nuvasive.

Jaime Denning, MD

Assistant Professor

Orthopaedic Surgery

Cincinnati Children’s Hospital Medical Center

Cincinnati

OH

Disclosures

JD declares that she has no competing interests.

Peer reviewers

Norm Otsuka, MD

Assistant Chief of Staff

Shriners Hospital for Children

Los Angeles

CA

Disclosures

NO declares that he has no competing interests.

Michael Smith, MB, BChir, FRCS

Consultant Orthopaedic Surgeon

Department of Orthopaedics

Guy's & St Thomas' Hospital

London

UK

Disclosures

MS declares that he has no competing interests.

Peter Cundy, MBBS, FRACS

Head of Orthopaedic Surgery

Women's & Children's Hospital

Adelaide

Australia

Disclosures

PC declares that he has no competing interests.

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