Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- presença de fatores de risco
- movimento limitado
- dor
- claudicação
- teste de rotação positivo
Outros fatores diagnósticos
- quadril abduzido e rotacionado externamente
- febre
Fatores de risco
- 2 a 12 anos de idade
- sexo masculino
- História de doença viral recente
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- Hemograma completo
- velocidade de hemossedimentação
- proteína C-reativa
- radiografia
Investigações a serem consideradas
- ultrassonografia
- ressonância nuclear magnética (RNM) com contraste
Algoritmo de tratamento
todos os pacientes
Colaboradores
Autores
Ishaan Swarup, MD, FAAOS, FAAP
Assistant 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
Declarações
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
Declarações
MS declares that he has no competing interests.
Peter Cundy, MBBS, FRACS
Head of Orthopaedic Surgery
Women's & Children's Hospital
Adelaide
Australia
Declarações
PC declares that he has no competing interests.
Referências
Principais artigos
Kocher MS, Zurakowski D, Kasser JR. Differentiating between septic arthritis and transient synovitis of the hip in children: an evidence-based clinical prediction algorithm. J Bone Joint Surg Am. 1999 Dec;81(12):1662-70. Resumo
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 Resumo
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
Kermond S, Fink M, Graham K, et al. A randomized clinical trial: should the child with transient synovitis of the hip be treated with nonsteroidal anti-inflammatory drugs? Ann Emerg Med. 2002 Sep;40(3):294-9. Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Artrite séptica
- Artrite de Lyme
- Osteomielite
Mais Diagnósticos diferenciaisDiretrizes
- ACR appropriateness criteria: acutely limping child up to age 5
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