Irritable hip Flashcards
1
Q
Irritable hip
A
Transient synovitis
2
Q
Clinical features
A
2 - 12 years Often following viral infection Sudden onset hip pain Limp Refusal to weight bear on affected side No pain at rest Limited passive abduction and rotation in otherwise well and afebrile child
3
Q
DD
A
Septic arthritis - febrile, unwell, pain at rest, refusal to move affected joint
4
Q
Diagnosis
A
Diagnosis of exclusion
Septic arthritis: WBC, CRP, ESP, blood cultures
If doubt, aspirate joint and then start abx
Hip Xray not useful
5
Q
Treatment
A
Self-limiting
Painkillers
