Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 17, Issue 8, pp 1003–1005 | Cite as

Arthroscopic view of transient synovitis of the hip joint: a case report

Hip

Abstract

We present a case of a 13-year-old male patient with hip pain and limp. Inconclusive investigations and persistent symptoms resulted in the patient undergoing hip arthroscopy. At arthroscopy, a large focal cartilaginous defect of the femoral head with synovitis was seen and synovial biopsy confirmed the diagnosis. Arthroscopic debridement of the lesion, synovectomy and non-weight bearing for 6 weeks resulted in relief of symptoms. Transient synovitis is a common diagnosis in young children, but the extent of damage to the femoral head has not been previously described. Transient synovitis may not always respond to symptomatic treatment and hip arthroscopy may be useful in detecting the actual lesion and plan the treatment.

Keywords

Arthroscopy Transient synovitis Hip joint 

References

  1. 1.
    Caird MS, Flynn JM, Leung YL et al (2006) Factors distinguishing septic arthritis from transient synovitis of the hip in children. A prospective study. J Bone Joint Surg Am 88:1251–1257. doi:10.2106/JBJS.E.00216 PubMedCrossRefGoogle Scholar
  2. 2.
    Do TT (2000) Transient synovitis as a cause of painful limps in children. Curr Opin Pediatr 12:48–51. doi:10.1097/00008480-200002000-00010 PubMedCrossRefGoogle Scholar
  3. 3.
    Frick SL (2006) Evaluation of the child who has hip pain. Orthop Clin North Am 37:133–140. doi:10.1016/j.ocl.2005.12.003 PubMedCrossRefGoogle Scholar
  4. 4.
    Kocher MS, Kim YJ, Millis MB et al (2005) Hip arthroscopy in children and adolescents. J Pediatr Orthop 25:680–686. doi:10.1097/01.bpo.0000161836.59194.90 PubMedCrossRefGoogle Scholar
  5. 5.
    Landin LA, Danielsson LG, Wattsgård C (1987) Transient synovitis of the hip. Its incidence, epidemiology and relation to Perthes’ disease. J Bone Joint Surg Br 69:238–242PubMedGoogle Scholar
  6. 6.
    Shetty VD, Villar RN (2007) Hip arthroscopy: current concepts and review of literature. Br J Sports Med 41:64–68. doi:10.1136/bjsm.2006.027755 PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  1. 1.Hiranandani Orthopaedic Medical Education (HOME)L.H. Hiranandani HospitalMumbaiIndia
  2. 2.Department of Orthopaedic SurgeryL.H. Hiranandani HospitalMumbaiIndia

Personalised recommendations