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Transient Synovitis
A. Carlson Merrow, Jr., MD, FAAP
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Synonyms

                • Toxic synovitis
              • Definitions

                • Idiopathic self-limited inflammation of pediatric hip

              IMAGING

              • General Features

                • Radiographic Findings

                  • Ultrasonographic Findings

                    • MR Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Plumb J et al: The role of ultrasound in the emergency department evaluation of the acutely painful pediatric hip. Pediatr Emerg Care. 31(1):54-8; quiz 59-61, 2015
                                        2. Cook PC: Transient synovitis, septic hip, and Legg-Calvé-Perthes disease: an approach to the correct diagnosis. Pediatr Clin North Am. 61(6):1109-18, 2014
                                        3. Harrison WD et al: The epidemiology of transient synovitis in Liverpool, UK. J Child Orthop. 8(1):23-8, 2014
                                        4. Nouri A et al: Transient synovitis of the hip: a comprehensive review. J Pediatr Orthop B. 23(1):32-6, 2014
                                        5. Gill KG: Pediatric hip: pearls and pitfalls. Semin Musculoskelet Radiol. 17(3):328-38, 2013
                                        6. Liberman B et al: The value of hip aspiration in pediatric transient synovitis. J Pediatr Orthop. 33(2):124-7, 2013
                                        7. Kim EY et al: Usefulness of dynamic contrast-enhanced MRI in differentiating between septic arthritis and transient synovitis in the hip joint. AJR Am J Roentgenol. 198(2):428-33, 2012
                                        8. Pauroso S et al: Transient synovitis of the hip: ultrasound appearance. Mini-pictorial essay. J Ultrasound. 14(2):92-4, 2011
                                        9. Sultan J et al: Septic arthritis or transient synovitis of the hip in children: the value of clinical prediction algorithms. J Bone Joint Surg Br. 92(9):1289-93, 2010
                                        10. Kwack KS et al: Septic arthritis versus transient synovitis of the hip: gadolinium-enhanced MRI finding of decreased perfusion at the femoral epiphysis. AJR Am J Roentgenol. 189(2):437-45, 2007
                                        11. Yang WJ et al: MR imaging of transient synovitis: differentiation from septic arthritis. Pediatr Radiol. 36(11):1154-8, 2006
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Clinical Issues

                                                  • Diagnostic Checklist

                                                    TERMINOLOGY

                                                    • Synonyms

                                                      • Toxic synovitis
                                                    • Definitions

                                                      • Idiopathic self-limited inflammation of pediatric hip

                                                    IMAGING

                                                    • General Features

                                                      • Radiographic Findings

                                                        • Ultrasonographic Findings

                                                          • MR Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  CLINICAL ISSUES

                                                                  • Presentation

                                                                    • Demographics

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Plumb J et al: The role of ultrasound in the emergency department evaluation of the acutely painful pediatric hip. Pediatr Emerg Care. 31(1):54-8; quiz 59-61, 2015
                                                                              2. Cook PC: Transient synovitis, septic hip, and Legg-Calvé-Perthes disease: an approach to the correct diagnosis. Pediatr Clin North Am. 61(6):1109-18, 2014
                                                                              3. Harrison WD et al: The epidemiology of transient synovitis in Liverpool, UK. J Child Orthop. 8(1):23-8, 2014
                                                                              4. Nouri A et al: Transient synovitis of the hip: a comprehensive review. J Pediatr Orthop B. 23(1):32-6, 2014
                                                                              5. Gill KG: Pediatric hip: pearls and pitfalls. Semin Musculoskelet Radiol. 17(3):328-38, 2013
                                                                              6. Liberman B et al: The value of hip aspiration in pediatric transient synovitis. J Pediatr Orthop. 33(2):124-7, 2013
                                                                              7. Kim EY et al: Usefulness of dynamic contrast-enhanced MRI in differentiating between septic arthritis and transient synovitis in the hip joint. AJR Am J Roentgenol. 198(2):428-33, 2012
                                                                              8. Pauroso S et al: Transient synovitis of the hip: ultrasound appearance. Mini-pictorial essay. J Ultrasound. 14(2):92-4, 2011
                                                                              9. Sultan J et al: Septic arthritis or transient synovitis of the hip in children: the value of clinical prediction algorithms. J Bone Joint Surg Br. 92(9):1289-93, 2010
                                                                              10. Kwack KS et al: Septic arthritis versus transient synovitis of the hip: gadolinium-enhanced MRI finding of decreased perfusion at the femoral epiphysis. AJR Am J Roentgenol. 189(2):437-45, 2007
                                                                              11. Yang WJ et al: MR imaging of transient synovitis: differentiation from septic arthritis. Pediatr Radiol. 36(11):1154-8, 2006