Other pathologies as stress fracture, pathological fracture, transient synovitis
, and bursitis were single in number.
(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.
The painful synovitis causing early symptoms in LCP can be clinically indistinguishable from transient synovitis
, and initial radiographs can be negative.
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
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.
That being said, the single most common cause of fever accompanied by limp is transient synovitis
of the hip, an acute self-limited condition.
How can I differentiate septic arthritis from transient synovitis
of the hip in children?