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Transient Synovitis of the Hip in an Adult

Anna Marie Quintos-Macasa, MD, Leonard Serebro, MD, Yamini Menon, MD
Volume: 99 Issue: 2 February, 2006

Abstract:

Transient synovitis of the hip is an acute and self-limited disease commonly seen in children. It is the most common cause of acute hip pain in children ages 3 to 10. It is not considered a disease of adults. It usually only affects one hip. The child may complain of pain that is much worse with walking and may actually walk with a limp. The symptoms usually improve in 4 to 5 days. Over-the-counter pain medicines (acetaminophen, ibuprofen) may help. There is usually no associated residual deficit. Currently, three cases in the literature report the same presentation and symptomatology in adults. We report the fourth case of acute hip pain in an adult that behaved in a way parallel to that seen in the pediatric population.


Key Points


* Transient synovitis of the hip is an acute and self-limited disease commonly seen in children.


* We present a case of transient hip synovitis in an adult. Only 3 publications indicate that some cases of acute, isolated synovitis of the hip in adults may be the equivalent of transient hip synovitis in children.

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References:

1. Laroche M, Moineuse C, Constantin A, et al. Do adults develop transient synovitis of the hip? Three case reports. Joint Bone Spine 2000;4:350–352.
 
2. Nyska M, Buskila D, Howard CB, et al. Benign synovitis of the hip in adults. Br J Rheumatol1993;32:820–821.
 
3. Dzioba RB, Barrington TW. Transient monoarticular synovitis of the hip joint in adults. Clin Orthop1977;126:190–192.
 
4. Lee SK, Suh KJ, Kim YM, et al. Septic arthritis versus transient synovitis at MR imaging. Radiology1999;211:459–465.
 
5. Ehrendorfer S, LeQuesne G, Penta M, et al. Bilateral synovitis in symptomatic unilateral transient synovitis of the hip: an ultrasonographic study in 56 children. Acta Orthop Scand 1996;67:149–152.
 
6. Hart JJ. Transient synovitis of the hip in children. Am Fam Physician 1996;54:1587–1591, 1595–1596.
 

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