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Ultrasonography in hip joint effusion. Report of a child with transient synovitis
Acta Orthopaedica Scandinavica
|August 1, 1984
Insights
Transient synovitis in children can cause hip effusion. Aspiration of fluid relieved pressure and symptoms, with no recurrence observed, offering a potential treatment approach.
Area of Science:
- Pediatric Orthopedics
- Diagnostic Imaging
- Musculoskeletal Disorders
Background:
- Transient synovitis is a common cause of hip pain in children.
- Intracapsular hip effusion can lead to increased joint pressure and pain.
- Accurate diagnosis and management are crucial for pediatric hip conditions.
Observation:
- A 7-year-old boy presented with symptoms suggestive of transient synovitis of the hip.
- Computed tomography and ultrasonography confirmed an intracapsular effusion.
- Intracapsular pressure measured 50 mmHg before fluid aspiration.
Findings:
- 5.5 ml of clear fluid was aspirated from the hip joint.
- Post-aspiration ultrasonography showed a significant reduction in effusion.
- Follow-up examinations revealed no recurrence of the hip effusion.
Implications:
- Hip joint aspiration can be an effective treatment for relieving pressure in transient synovitis.
- Minimally invasive procedures like aspiration may offer rapid symptom relief.
- This case highlights the importance of pressure measurement and fluid aspiration in managing pediatric hip effusions.
Abstract:
In a 7-year-old boy with clinical symptoms of transient synovitis of the hip, an intracapsular effusion was diagnosed with computed tomography and ultrasonography. An intracapsular pressure of 50 mmHg was recorded prior to aspiration of 5.5 ml of clear fluid. Repeated ultrasonography immediately after aspiration verified a reduction in effusion, and serial examinations on the following days did not reveal any recurrence of the effusion.