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Transient synovitis is a diagnosis of exclusion. [4] The diagnosis can be made in the typical setting of pain or limp in a young child who is not generally unwell and has no recent trauma. There is a limited range of motion of the hip joint. Nevertheless, children with transient synovitis of the hip can usually weight bear.
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]
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.
The most common underlying cause of limping in children is minor physical trauma. In those with no history of trauma, 40% are due to transient synovitis and 2% are from Legg–Calvé–Perthes syndrome. [3] Other important causes are infectious arthritis, osteomyelitis, and slipped capital femoral epiphysis in children. [4] [5]
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.
Infectious tenosynovitis in 2.5% to 9.4% of all hand infections. Kanavel's cardinal signs are used to diagnose infectious tenosynovitis. They are: tenderness to touch along the flexor aspect of the finger, fusiform enlargement of the affected finger, the finger being held in slight flexion at rest, and severe pain with passive extension.
Doctors at the time thought Max was dealing with a hip syndrome called transient synovitis that causes swelling and pain in the hip and is most commonly found in children aged 3 to 10 years old ...
Intermittent hydrarthrosis (IH), also known as periodic synoviosis, periodic benign synovitis, or periodic hydrarthritis, is a chronic condition of unknown cause characterized by recurring, temporary episodes of fluid accumulation in the knee.