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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.
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.
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]
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.
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 usually shows anechoic fluid, but echogenic fluid can also be found.
The couple tied the knot in 2014 and gave birth to their first child, Frederick Charles II (who goes by Charlie) in 2016. ... the toddler had developed transient synovitis from a viral infection ...
Kocher was first author on the 1999 publication "Differentiating Between Septic Arthritis and Transient Synovitis of the Hip in Children: An Evidence-Based Clinical Prediction Algorithm", where he introduced the Kocher criteria that are used to diagnose septic arthritis. [3]
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.