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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.
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.
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] Few muscle biopsies have been conducted.
The Kocher criteria are a tool useful in the differentiation of septic arthritis from transient synovitis in the child with a painful hip. [1] They are named for Mininder S. Kocher, an orthopaedic surgeon at Boston Children's Hospital and Professor of Orthopaedic Surgery at Harvard Medical School.
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]
Acute exacerbation of juvenile idiopathic arthritis and transient synovitis of the hip both of which are non-septic conditions may mimic septic arthritis. More serious and life-threatening disorders as bone malignancies e.g. Ewing sarcoma and osteosarcoma may mimic septic arthritis associated with concurrent acute hematogenous osteomyelitis.
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.