Transient synovitis of the hip

Case contributed by Dra. Indiveri Lorena

Presentation

Left hip pain and limping for two days without a fever. Haemogram and ESR levels normal.

Patient Data

Age: 8 years
Gender: Male
Ultrasound

Ecografia de Cadera

Images show bulging of the left joint capsule associated with a small amount of intracapsular fluid, findings are suggestive of transient synovitis of the hip joint.

Case Discussion

Transient hip synovitis is a pathology that has a self-limited acute inflammatory condition.

It affects children under 10 years of age, with an incidence peak of 3-5 years, presenting a higher prevalence in boys than in girls in a 3:1 ratio. The right hip is mostly affected, and in 5% of cases, it is bilateral.

The differential diagnosis that should be considered is septic arthritis.

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Case information

rID: 72704
Published: 23rd Jan 2020
Last edited: 2nd Dec 2020
Inclusion in quiz mode: Included
Excluded from licensing
Institution: Hospital Español - Mendoza - Argentina

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