When viewing this topic in a different language, you may notice some differences in the way the content is structured, but it still reflects the latest evidence-based guidance.

Transient synovitis of the hip

  • Descripción general
  • Teoría
  • Diagnóstico
  • Manejo
  • Seguimiento
  • Recursos
Última revisión: 17 Aug 2025
Última actualización: 17 Jul 2025

Resumen

Definición

Anamnesis y examen

Principales factores de diagnóstico

  • limited movement
  • pain
  • limp
  • positive log roll
Todos los datos

Otros factores de diagnóstico

  • abducted and externally rotated hip
  • absent or low-grade fever
Todos los datos

Factores de riesgo

  • 2 to 12 years of age
  • male sex
  • history of recent viral illness
Todos los datos

Pruebas diagnósticas

Primeras pruebas diagnósticas para solicitar

  • CBC
  • erythrocyte sedimentation rate
  • CRP
  • radiograph
Todos los datos

Pruebas diagnósticas que deben considerarse

  • ultrasound
  • MRI with contrast
Todos los datos

Algoritmo de tratamiento

Agudo

all patients

Colaboradores

Autores

Ishaan Swarup, MD, FAAOS, FAAP

Associate Professor of Clinical Orthopaedic Surgery

Director, Pediatric Orthopaedic Trauma

Associate Fellowship Director, Pediatric Orthopaedic Surgery

University of California

San Francisco

CA

Divulgaciones

IS is the author of a reference cited in this topic.

Agradecimientos

Dr Ishaan Swarup would like to gratefully acknowledge Professor James McCarthy and Dr Jaime Denning, previous contributors to this topic.

Divulgaciones

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. JM has worked as a consultant for Nuvasive within the past 5 years, and frequently gives academic ground rounds lectures. JD declares that she has no competing interests.

Revisores por pares

Norm Otsuka, MD

Assistant Chief of Staff

Shriners Hospital for Children

Los Angeles

CA

Divulgaciones

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

Divulgaciones

MS declares that he has no competing interests.

Peter Cundy, MBBS, FRACS

Head of Orthopaedic Surgery

Women's & Children's Hospital

Adelaide

Australia

Divulgaciones

PC declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Referencias

Nuestros equipos internos de evidencia y editoriales colaboran con colaboradores expertos internacionales y revisores pares para garantizar que brindemos acceso a la información más clínicamente relevante posible.

Artículos principales

Jain N, Sah M, Chakraverty J, et al. Radiological approach to a child with hip pain. Clin Radiol. 2013 Nov;68(11):1167-78.Texto completo  Resumen

American College of Radiology. ACR appropriateness criteria: acutely limping child up to age 5. 2018 [internet publication].Texto completo

Pediatric Orthopaedic Society of North America. Transient synovitis of the hip: study guide. [internet publication].Texto completo

Artículos de referencia

Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.

O uso deste conteúdo está sujeito ao nosso aviso legal