We evaluated retrospectically 54 children (43 M, 11 F), aged 11 mo-13 yr, admitted to the pediatric department during the last 5 years, because of painful hip and/or limp (except trauma). The dismission diagnosis were TS (n = 47), other diseases of the hip (n = 7). Aims: to evaluate the usefullness of laboratory and instrumental data in the differential diagnosis of hip diseases and, therefore, the possibility of detection of TS in the emergency room, reducing hospital admissions and managing these children as outpatients. Results and conclusions: - no exam resulted discriminant, but the clinical presentation, together with hematologic and ultrasound data, frequently allows the diagnosis of TS and the exclusion of an orthopedic-pediatric emergency. In our study, 41/47 TS could be diagnosed in the emergency room. - ultrasonography is the instrumental test to be preferred at diagnosis and in the follow-up, because of the absence of side effects and contraindications and its good sensitivity. - X-ray should be reserved for patients with unremitting symptoms and/or persistent hip effusion.
|Translated title of the contribution||Transient synovitis of the hip: Review of case histories and proposal of outpatient diagnostic procedures|
|Number of pages||5|
|Journal||Rivista Italiana di Pediatria|
|Publication status||Published - 1997|
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health