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Transient synovitis of the hip: more evidence for a viral aetiology

Katherina Kastrissianakis1, Tom F Beattie

  • 1University of Edinburgh Medical School, Edinburgh, UK. K.Kastrissianakis@gmail.com

European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
|June 5, 2010
PubMed

Insights

Transient synovitis (TS) in children is linked to recent infections, particularly gastroenteritis and common cold symptoms. This study investigated the association between TS and prior infectious illness.

Area of Science:

  • Pediatric Orthopedics
  • Infectious Disease Epidemiology

Background:

  • Transient synovitis (TS) is a frequent cause of pediatric hip limping.
  • The association between TS and preceding infection remains unclear.

Purpose of the Study:

  • To investigate the link between transient synovitis and recent infections in children.
  • To determine if TS is associated with specific infectious symptoms.

Main Methods:

  • A case-control study design was employed.
  • Children diagnosed with TS were compared to age- and sex-matched controls with fractures.
  • A standardized questionnaire assessed recent infectious illness in both groups.

Main Results:

  • Children with TS were significantly more likely to report recent infections involving vomiting or diarrhea (P=0.004).
  • Common cold symptoms, such as a runny nose, were also more prevalent in children with TS (P=0.006).
  • Other viral or bacterial infection symptoms did not show a significant association with TS.

Conclusions:

  • Transient synovitis in children is associated with symptoms of gastroenteritis.
  • The common cold is also a significant associated factor for transient synovitis.
Abstract

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