Inflammation of the layer that lines the joint of the hip also known as synovial membrane.
The cause is an inflammatory reaction of unknown origin. In most cases, a viral infection has occurred in the days prior to the limp (catarrh clinical picture or intestinal episode). It usually involves only one hip.
The most frequent symptoms are pain in the hip region, in the groin or in the frontal region of the thigh. The limp originates due to pain. In lactating infants or young children, the only symptom we might observe is that they do not want to get up or move. Low grade fever may occasionally appear, but high fever rarely does. The symptoms usually last 7-10 days, although sometimes they may last several weeks.
Diagnosis is clinical, based on data from the patient's history and a physical examination. If there are diagnostic doubts or the clinical picture is very prolonged or severe, it may sometimes be necessary to carry out X-rays to rule out other pathologies.
Treatment is based on rest and anti-inflammatory drugs, for example ibuprofen.
- Lee JH, Park MS, Kwon H, Chung CY, Lee KM, Kim YJ, Kim K. A guideline for differential diagnosis between septic arthritis and transient synovitis in the ED: a Delphi survey. Am J Emerg Med. 2016 Aug;34(8):1631-6.
- Ryan DD. Differentiating Transient Synovitis of the Hip from More Urgent Conditions.Pediatr Ann. 2016 Jun 1;45(6):e209-13.
- Fernández Miaja M, Rodríguez Blanco S, de la Fuente Domínguez C, Muñóz Lozón A. Limp: looking beyond transient synovitis.An Pediatr (Barc). 2015 Mar;82(3):202-3.
- Nouri A, Walmsley D, Pruszczynski B, Synder M. Transient synovitis of the hip: a comprehensive review. J Pediatr Orthop B. 2014 Jan;23(1):32-6.
- Pauroso S, Di Martino A, Tarantino CC, Capone F. Transient synovitis of the hip: Ultrasound appearance. Mini-pictorial essay.J Ultrasound. 2011 Jun;14(2):92-4.

