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Transient synovitis of the hip

  • Visão geral
  • Teoria
  • Diagnóstico
  • Tratamento
  • ACOMPANHAMENTO
  • Recursos
Última revisão das evidências: 11 Sep 2026
Última atualização do tópico: 17 Jul 2025

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • limited movement
  • pain
  • limp
  • positive log roll
Detalhes completos

Outros fatores diagnósticos

  • abducted and externally rotated hip
  • absent or low-grade fever
Detalhes completos

Fatores de risco

  • 2 to 12 years of age
  • male sex
  • history of recent viral illness
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • CBC
  • erythrocyte sedimentation rate
  • CRP
  • radiograph
Detalhes completos

Investigações a serem consideradas

  • ultrasound
  • MRI with contrast
Detalhes completos

Algoritmo de tratamento

AGUDA

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

Declarações

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

Agradecimentos

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

Declarações

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

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.

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Divulgaciones

Las afiliaciones y divulgaciones de los revisores por pares se refieren al momento de la revisión.

Referencias

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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.

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