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Incidence and management of transient synovitis of the hip: a study in Dutch general practice
A S Vijlbrief1, M A Bruijnzeels, J C van der Wouden
1Department of General Practice, Erasmus University, Rotterdam, The Netherlands.
Insights
Transient synovitis of the hip is uncommon in children, with a low incidence rate. General practitioners often adopt a wait-and-see approach for managing this hip condition in pediatric patients.
Area of Science:
- Pediatric Orthopedics
- Community Medicine
- Epidemiology
Background:
- Transient synovitis of the hip is a common cause of hip pain in children.
- Limited data exists on its community-based incidence and management.
Purpose of the Study:
- To determine the incidence and management of transient synovitis of the hip in children under 15 years.
- To analyze general practitioner approaches to this pediatric hip condition.
Main Methods:
- Utilized data from the Dutch national survey of morbidity and interventions in general practice.
- Analyzed diagnosed cases of transient synovitis of the hip in children under 15.
Main Results:
- An incidence rate of 1.1 per 1000 person-years was calculated.
- Most cases involved boys (2.8:1 ratio) with a mean age of 6 years 6 months.
- General practitioners favored conservative management and a wait-and-see approach over advanced imaging.
Conclusions:
- Transient synovitis of the hip has a low community incidence in children.
- General practitioners typically manage pediatric hip synovitis conservatively, with infrequent referrals for imaging.
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.