SAMPLE CASE

Muir-000-Transient Synovitis

Date: 1/5/09
Case: 000

History

3 yr old boy presents with 1 day of left hip pain and limp; no antecedent trauma. The patient is afebrile. Pediatrician orders left hip series to include AP pelvis.

Images

Click on each thumbnail to see full-sized image.
Muir-000-Transient_Synovitis-AP_Pelvis.jpg
AP Pelvis




Muir-000-Transient_Synovitis-AP-Hip.jpg
AP Hip

Muir-000-Transient_Synovitis-lateral_view_hip.jpg
lateral view off hip


Muir-000-Transient_Synovitis-ultrasound_of_hip.jpg
ultrasound of hip



Diagnosis

Transient Synovitis


Explanation

Given that the patient has remained afebrile throughout the time that he has had hip pain, and he has essentially full range of motion in the left hip, (he actively walks and runs with no significant complaint of pain in the left hip), and his white blood cell count and ESR are within normal limits, it is unlikely that this left hip pain is due to a septic arthritis. It is likely that the patient's left hip pain is due to transient synovitis of the left hip. Patient is to be closely monitored and will return to the ER if pain worsens.

Resources

To learn more about Transient Synovitis, visit the following web siite:
Family Doctor Article