Skip to main content
PMC home page
The British Journal of General Practice logoLink to The British Journal of General Practice
. 1992 Oct;42(363):426–428.

Incidence and management of transient synovitis of the hip: a study in Dutch general practice.

A S Vijlbrief 1, M A Bruijnzeels 1, J C van der Wouden 1, L W van Suijlekom-Smit 1
PMCID: PMC1372234  PMID: 1466922

Abstract

Little is known about transient synovitis of the hip in the community. Using data from the Dutch national survey of morbidity and interventions in general practice, a study was undertaken to look at the incidence and management of transient synovitis of the hip in children under 15 years of age. Transient synovitis of the hip was diagnosed in 19 children, 17 of whom were new cases. The mean age of the children was six years six months with a sex ratio of 2.8:1.0 boys to girls. An incidence rate of 1.1 per 1000 person years was calculated. General practitioners prescribed drug treatment for six children and bed rest was advised for six children. Two children were referred for an x-ray examination. Clear follow-up arrangements were made for 16 of the 19 children. It appears that general practitioners preferred to adopt a wait-and-see approach to transient synovitis of the hip rather than referring children for diagnostic ultrasound or x-ray examination.

Full text

PDF
426

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bickerstaff D. R., Neal L. M., Booth A. J., Brennan P. O., Bell M. J. Ultrasound examination of the irritable hip. J Bone Joint Surg Br. 1990 Jul;72(4):549–553. doi: 10.1302/0301-620X.72B4.2199451. [DOI] [PubMed] [Google Scholar]
  2. Haueisen D. C., Weiner D. S., Weiner S. D. The characterization of "transient synovitis of the hip" in children. J Pediatr Orthop. 1986 Jan-Feb;6(1):11–17. doi: 10.1097/01241398-198601000-00003. [DOI] [PubMed] [Google Scholar]
  3. Illingworth C. M. 128 limping children with no fracture, sprain, or obvious cause. Seven were found to have Perthes' disease, 76 seemed to have transient synovitis of the hip, and in 45 the cause seemed to be in the ankle or knee. Clin Pediatr (Phila) 1978 Feb;17(2):139–142. doi: 10.1177/000992287801700207. [DOI] [PubMed] [Google Scholar]
  4. Illingworth C. M. Recurrences of transient synovitis of the hip. Arch Dis Child. 1983 Aug;58(8):620–623. doi: 10.1136/adc.58.8.620. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Kunnamo I., Kallio P., Pelkonen P. Incidence of arthritis in urban Finnish children. A prospective study. Arthritis Rheum. 1986 Oct;29(10):1232–1238. doi: 10.1002/art.1780291008. [DOI] [PubMed] [Google Scholar]
  6. Landin L. A., Danielsson L. G., Wattsgård C. Transient synovitis of the hip. Its incidence, epidemiology and relation to Perthes' disease. J Bone Joint Surg Br. 1987 Mar;69(2):238–242. doi: 10.1302/0301-620X.69B2.3818754. [DOI] [PubMed] [Google Scholar]
  7. Marchal G. J., Van Holsbeeck M. T., Raes M., Favril A. A., Verbeken E. E., Casteels-Vandaele M., Baert A. L., Lauweryns J. M. Transient synovitis of the hip in children: role of US. Radiology. 1987 Mar;162(3):825–828. doi: 10.1148/radiology.162.3.3544039. [DOI] [PubMed] [Google Scholar]
  8. Meradji M., Diepstraten A. F. Coxitis fugax. Sonographisches und radiologisches Bild in 65 Fällen. Radiologe. 1988 Oct;28(10):473–478. [PubMed] [Google Scholar]
  9. Visser J. D. Het mank lopende kind. Ned Tijdschr Geneeskd. 1988 Sep 3;132(36):1644–1647. [PubMed] [Google Scholar]
  10. Zemel L. Transient synovitis of the hip. J Pediatr Orthop. 1986 Nov-Dec;6(6):755–755. [PubMed] [Google Scholar]

Articles from The British Journal of General Practice are provided here courtesy of Royal College of General Practitioners

RESOURCES