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Transient synovitis of the hip in an adult

Anna Marie Quintos-Macasa1, Leonard Serebro, Yamini Menon

  • 1Department of Rheumatology, Ochsner Clinic Foundation, New Orleans, LA, USA.

Southern Medical Journal
|March 3, 2006
PubMed

Insights

Transient synovitis, a common childhood hip condition, is rarely seen in adults. This case report details a fourth adult experiencing acute hip pain mirroring pediatric transient synovitis symptoms.

Area of Science:

  • Pediatric Orthopedics
  • Adult Hip Pathology

Background:

  • Transient synovitis is the most frequent cause of acute hip pain in children aged 3-10.
  • This condition is typically self-limited, affecting a single hip and resolving within 4-5 days.
  • It is generally not considered a disease entity in adult populations.

Observation:

  • The case involves an adult presenting with acute hip pain, characterized by exacerbation with walking and a resultant limp.
  • Symptoms were similar to those typically observed in pediatric cases of transient synovitis.
  • This presentation aligns with the few previously documented adult cases in medical literature.

Findings:

  • The adult patient's acute hip pain presentation mimicked pediatric transient synovitis.
  • This represents the fourth reported case of transient synovitis-like symptoms in an adult.
  • The condition in this adult patient resolved with conservative management, including over-the-counter pain relievers.

Implications:

  • This case expands the understanding of transient synovitis presentation in adults.
  • It suggests that adult hip pain with similar symptomatology may warrant consideration of transient synovitis.
  • Further research may clarify the incidence and underlying mechanisms of transient synovitis in adults.

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