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Transient Synovitis Of The Hip

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  • Synovitis is an inflammation of the synovial membrane (the thin membrane lining the joint capsule).  Transient synovitis is the most common cause of hip pain in children.

  • Transient synovitis usually occurs in children between the ages of 2 to 10 years of age, especially boys, usually affecting one side of the hip.
  • Pain in the hip, groin and inner thigh
  • Limping
  • Difficulty with walking or standing
  • Decreased range of motion of hip joint
  • Low-grade fever

  • Although the cause is unknown, it is believed that viral infections or minor injuries initiate the inflammation of the synovial membrane.

  • Transient synovitis is important because it is similar with early stages of other conditions such as tuberculous arthritis and Legg-Calve-Perthes disease.
  • A high fever over 99.5 degrees Fahrenheit is suggestive of other diseases.
  • X-Rays are usually normal in transient hip synovitis.  In blood tests, an ESR can be slightly elevated.  X-Rays and blood tests help to rule out other diseases.  If other diseases are suspected, further tests are required.

  • Rest and anti-inflammatory medications help to relieve the pain.  If these do not work, don't worry.  The pain usually goes away within 2 weeks.





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