Much of the existing literature is focused on differentiation between septic arthritis and
transient synovitis in the hip.
The patient's fever again declined without directed therapy, and she was discharged home with a diagnosis of
transient synovitis.
Other pathologies as stress fracture, pathological fracture,
transient synovitis, and bursitis were single in number.
Transient synovitis (TS) of the hip has a good prognosis, and it is a self-limiting disease.
However, when a pediatric patient presents with fever, pain, and refusal to bear weight on one limb, septic arthritis or
transient synovitis are the most likely diagnoses.
A misdiagnosis of
transient synovitis and occurrence of contiguous osteomyelitis due to the delay in diagnosis is presented.
-- Four simple criteria are useful in distinguishing septic arthritis from
transient synovitis in a child with an inflamed hip.
For example, septic arthritis, osteomyelitis, and
transient synovitis occur more commonly in children under 10 years.
Only one of the children had a history of hip pain for five days, two months prior, which was diagnosed at the time as
transient synovitis. One case was bilateral and the rest were unilateral, for a total of seven hips.
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Transient synovitis. This is the most common nontraumatic cause of acute limp in children aged 5-10 years.
The painful synovitis causing early symptoms in LCP can be clinically indistinguishable from
transient synovitis, and initial radiographs can be negative.
When you suspect an acute infectious cause of hip pain, there are 2 disorders to consider in the differential diagnosis:
transient synovitis (TS) and septic arthritis.
