Transient Synovitis Flashcards
What is another term for transient synovitis?
Irritable hip
What is transient synovitis?
It is defined as a condition in which there is intermittent inflammation of the synovial membrane of the hip joint
What is the most common cause of paediatric hip pain?
Transient Synovitis
What two risk factors are associated with transient synovitis?
Children, 3 – 10 Years Old
Viral Upper Respiratory Tract Infection
What are the seven clinical features of transient synovitis?
Prodromal Coryzal Features
Low Grade Fever
Hip/Groin Pain
Weight Bearing Inability
Flexed, Abducted & Externally Rotated Hip
Reduced Hip Movement
Limping
What clincial feature would indicate septic arthritis, instead of transient synovitis? In this case, what would be the most appropriate management step?
High grade fever
Urgent same day assessment
What two investigations are used to diagnose transient synovitis?
Blood Tests
Ultrasound Scans
What three blood test results indicate transient synovitis?
Increased WBC Levels
Increased CRP Levels
Increased ESR Levels
When are ultrasound scans used to investigate transient synovitis?
When there is clinical suspicion of septic arthritis, in order to exclude a diagnosis
When is conservative management used to treat transient synovitis?
It is the first line management option of transient synovitis, in individuals who are 3 – 9 years old, systemically well, afebrile, mobile however limping, and have had the clinical features for a period less than 72 hours
What is the conservative management option of transient synovitis?
It involves advising individuals that transient synovitis is a self-limiting disease which should resolve within 7 – 10 days
What safety netting advice should transient synovitis patients recieve?
They should be advised to reattend A&E if there is development of a fever
What follow up appointments should transient synovitis patients recieve? Why?
They should be followed up at 48 hours and 1 week, in order to ensure that clinical features are improving and then fully resolve
