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Synovitis—Transient, Pediatric

Jay Mehta, MD, MS Reviewed 10/2018
 


BASICS

DESCRIPTION

Transient inflammatory process resulting in arthralgia and arthritis (especially affecting the hip), often precipitated by an exposure to an infectious agent 

EPIDEMIOLOGY

  • Any age at r...

DIAGNOSIS

HISTORY

  • Preceding infection (URI, UTI, gastroenteritis) or trauma

  • Relatively rapid onset of symptoms, with acute onset of groin or thigh pain or refusal to bear weight

  • Non–toxic-appearing child

PHYSICAL EXAM

TREATMENT

GENERAL MEASURES

Pitfalls 
  • Missing a septic hip or, alternatively, overinvestigating transient synovitis with invasive procedures

  • Avoid initiation of therapy until septic joint has been ruled o...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Usually significant improvement in 24 to 48 hours 

Patient Monitoring

Ongoing synovitis despite therapeutic levels of NSAIDs or any bony change indicates need to ch...

ADDITIONAL READING

  • Del Baccaro MA, Champoux AN, Bockers T, et al. Septic arthritis versus transient synovitis of the hip: the value of screening laboratory tests. Ann Emerg Med.  1992;21(12):1418...

CODES

ICD9

  • 727.09 Other synovitis and tenosynovitis

  • 716.45 Transient arthropathy, pelvic region and thigh

ICD10

  • M67.30 Transient synovitis, unspecified site

  • M67.359 Transient synovitis, unspecified hip

  • M67....

FAQ

  • Q: Are there any chronic sequelae from transient synovitis?

  • A: Not usually. This is generally a benign disease, but there is an increased incidence of Legg-Calve-Perthes disease after transient syn...

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