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
Clever D et al: Pilot study analysis of serum cytokines to differentiate pediatric septic arthritis and transient synovitis. J Pediatr Orthop. 41(10):610-6., 2021
Kang MS et al: Differential MRI findings of transient synovitis of the hip in children when septic arthritis is suspected according to symptom duration. J Pediatr Orthop B. 29(3):297-303, 2019
Cruz AI Jr et al: Distinguishing pediatric Lyme arthritis of the hip from transient synovitis and acute bacterial septic arthritis: a systematic review and meta-analysis. Cureus. 10(1):e2112, 2018
Expert Panel on Pediatric Imaging:. et al: ACR Appropriateness Criteria® acutely limping child up to age 5. J Am Coll Radiol. 15(11S):S252-62, 2018
Ryan DD: Differentiating transient synovitis of the hip from more urgent conditions. Pediatr Ann. 45(6):e209-13, 2016
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
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
Nouri A et al: Transient synovitis of the hip: a comprehensive review. J Pediatr Orthop B. 23(1):32-6, 2014
Liberman B et al: The value of hip aspiration in pediatric transient synovitis. J Pediatr Orthop. 33(2):124-7, 2013
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
Pauroso S et al: Transient synovitis of the hip: ultrasound appearance. Mini-pictorial essay. J Ultrasound. 14(2):92-4, 2011
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
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
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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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
Clever D et al: Pilot study analysis of serum cytokines to differentiate pediatric septic arthritis and transient synovitis. J Pediatr Orthop. 41(10):610-6., 2021
Kang MS et al: Differential MRI findings of transient synovitis of the hip in children when septic arthritis is suspected according to symptom duration. J Pediatr Orthop B. 29(3):297-303, 2019
Cruz AI Jr et al: Distinguishing pediatric Lyme arthritis of the hip from transient synovitis and acute bacterial septic arthritis: a systematic review and meta-analysis. Cureus. 10(1):e2112, 2018
Expert Panel on Pediatric Imaging:. et al: ACR Appropriateness Criteria® acutely limping child up to age 5. J Am Coll Radiol. 15(11S):S252-62, 2018
Ryan DD: Differentiating transient synovitis of the hip from more urgent conditions. Pediatr Ann. 45(6):e209-13, 2016
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
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
Nouri A et al: Transient synovitis of the hip: a comprehensive review. J Pediatr Orthop B. 23(1):32-6, 2014
Liberman B et al: The value of hip aspiration in pediatric transient synovitis. J Pediatr Orthop. 33(2):124-7, 2013
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
Pauroso S et al: Transient synovitis of the hip: ultrasound appearance. Mini-pictorial essay. J Ultrasound. 14(2):92-4, 2011
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
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
Yang WJ et al: MR imaging of transient synovitis: differentiation from septic arthritis. Pediatr Radiol. 36(11):1154-8, 2006
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