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Transient synovitis usually affects children between three and ten years old (but it has been reported in a 3-month-old infant and in some adults [3]). It is the most common cause of sudden hip pain and limp in young children. [4] [5] Boys are affected two to four times as often as girls. [5] [6] [7] The exact cause is unknown.
The score is primarily used in orthopedic cases in which the symptoms experienced in septic arthritis and transient synovitis are similar. [2] The criteria can be used on multiple joints — the hip being the most tested given its frequency of diagnosis and importance to the patient's mobility.
Although sonography is extremely sensitive in detecting increased synovial fluid, it is nonspecific and cannot be used with accuracy to determine the type of fluid. Transient synovitis of the hip, despite being the most frequent cause of pain in children between 3 and 10 years, remains a diagnosis of exclusion.
Guillain-Barré syndrome (GBS) is the main consideration in the differential diagnosis. It needs to be quickly excluded as early intervention in GBS is indicated. Other conditions under possible consideration are dermatomyositis, muscular dystrophy, juvenile idiopathic arthritis, transient synovitis of the hip, osteomyelitis, and myalgia. [1]
Overview. Sudden hip pain, shooting pain, a dull ache — all can be symptoms of issues involving your hip. The hip joint contains the ball of the thigh bone and the pelvis socket.
Transient synovitis is a reactive arthritis of the hip of unknown cause. [2] People are usually able to walk and may have a low grade fever. [2] They usually look clinically nontoxic or otherwise healthy. [7] It may only be diagnosed once all other potential serious causes are excluded. With symptomatic care it usually resolves over one week. [2]
Synovitis is the medical term for inflammation of the synovial membrane. This membrane lines joints that possess cavities, known as synovial joints . The condition is usually painful, particularly when the joint is moved.
JIA is a subset of childhood arthritis, but unlike other, more transient forms of childhood arthritis, JIA persists for at least six weeks, and in some children is a lifelong condition. It differs significantly from forms of arthritis commonly seen in adults ( osteoarthritis , rheumatoid arthritis ), in terms of cause, disease associations, and ...