Transient synovitis of the hip
Summary
Definition
History and exam
Key diagnostic factors
- limited movement
- pain
- limp
- positive log roll
Other diagnostic factors
- abducted and externally rotated hip
- absent or low-grade fever
Risk factors
- 2 to 12 years of age
- male sex
- history of recent viral illness
Diagnostic tests
1st tests to order
- CBC
- erythrocyte sedimentation rate
- CRP
- radiograph
Tests to consider
- ultrasound
- MRI with contrast
Treatment algorithm
all patients
Contributors
Authors
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.
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Referencias
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.
Diferenciales
- Septic arthritis
- Lyme arthritis
- Osteomyelitis
Más DiferencialesGuías de práctica clínica
- ACR appropriateness criteria: acutely limping child up to age 5
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