Transient synovitis

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Summary of Transient synovitis

Transient synovitis of the hip is a self-limiting condition in which there is an inflammation of the inner lining (the synovium) of the capsule of the hip joint. Transient synovitis usually affects children between three and ten years old. It is the most common cause of sudden hip pain and limp in young children.

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Transient synovitis

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Transient synovitis

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Transient synovitis is the most common cause of sudden hip pain and limp in (age group) .

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A 5-year-old girl comes to the office with a painful limp for two days. She also reports a painful right groin when moving her leg, but denies fevers. She was successfully treated for sinusitis last week. She is alert and comfortable. Her temperature is 37.3°C (99.1°F), pulse is 86/min, respirations are 18/min, and blood pressure is 120/80 mm Hg. Examination of her hips show no erythema, warmth, tenderness or joint swelling. She has an antalgic limp with a shortened stance phase on her right leg. She experiences pain with internal rotation and has a reduced range of motion in her right hip. Log roll test shows muscle guarding. Laboratory studies show a normal leukocyte count and erythrocyte sedimentation rate. Which is the most likely diagnosis in this patient?

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