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Sinovite transitória do quadril

  • Overview
  • Theory
  • Diagnosis
  • Management
  • Follow up
  • Resources
Last reviewed: 18 Aug 2025
Last updated: 17 Jul 2025

Summary

Definition

History and exam

Key diagnostic factors

  • presença de fatores de risco
  • movimento limitado
  • dor
  • claudicação
  • teste de rotação positivo
Full details

Other diagnostic factors

  • quadril abduzido e rotacionado externamente
  • febre ausente ou baixa
Full details

Risk factors

  • 2 a 12 anos de idade
  • sexo masculino
  • História de doença viral recente
Full details

Diagnostic investigations

1st investigations to order

  • Hemograma completo
  • velocidade de hemossedimentação
  • proteína C-reativa
  • radiografia
Full details

Investigations to consider

  • ultrassonografia
  • ressonância nuclear magnética (RNM) com contraste
Full details

Treatment algorithm

ACUTE

todos os pacientes

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

Disclosures

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

Acknowledgements

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

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. 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.

Peer reviewers

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

Disclosures

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.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

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

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

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

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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