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Transient osteopaenia of the hip in children
Insights
Transient osteopaenia of the hip, a rare condition, is presented in six children. This hip disorder in children resolves spontaneously, highlighting the importance of conservative management.
Area of Science:
- Pediatric Orthopedics
- Pediatric Rheumatology
- Pediatric Radiology
Background:
- Transient osteopaenia of the hip is a recognized condition in adults.
- Its occurrence in children has not been previously documented.
Purpose of the Study:
- To describe the first reported cases of transient osteopaenia of the hip in children.
- To detail the clinical presentation, diagnostic findings, and management of this syndrome in pediatric patients.
Main Methods:
- Case series presentation of six children aged 6-12 years.
- Follow-up duration ranged from 1 to 4 years.
- Inclusion of presenting symptoms, clinical signs, investigations, radiological changes, and arthrotomy findings.
Main Results:
- The pediatric syndrome closely mirrors the adult presentation.
- Two patients exhibited bone enlargement, potentially due to growth potential.
- All cases demonstrated spontaneous resolution, indicating a benign course.
Conclusions:
- Transient osteopaenia of the hip is identified as a distinct syndrome in children.
- Management should focus on excluding other pathologies and avoiding overtreatment.
- The condition is characterized by self-limiting resolution, emphasizing conservative care.
Abstract:
The syndrome of transient osteopaenia of the hip is described in children for the first time. Six children 6-12 years of age are presented with follow-up between 1 and 4 years. The presenting symptoms, clinical signs, investigations, and radiologic changes are described, together with the findings at arthrotomy of the affected joints. This syndrome in children closely parallels that described in adults, but, presumably because of growth potential, enlargement of the affected bones occurred in two patients. Management, with emphasis on excluding more sinister pathology and avoiding excessive treatment, is outlined. The fact that the syndrome is characterised by spontaneous resolution is stressed.