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Related Experiment Videos

Recurrent irritable hip in childhood

G R Taylor1, N M Clarke

  • 1Department of Orthopaedics, Southampton General Hospital, UK.

The Journal of Bone and Joint Surgery. British Volume
|September 1, 1995
PubMed
Summary

Recurrent irritable hip in children is more common than previously thought. Further investigations on subsequent admissions offer little benefit when initial radiographs are normal.

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Area of Science:

  • Pediatric Orthopedics
  • Musculoskeletal Disorders

Background:

  • Irritable hip is a common condition in children.
  • Recurrence rates and long-term sequelae require further investigation.

Purpose of the Study:

  • To determine differences between children with irritable hip presenting once versus recurrently.
  • To assess if recurrent irritable hip leads to pathological sequelae.

Main Methods:

  • Retrospective analysis of 426 children admitted between 1989-1992 with irritable hip.
  • Comparison of clinical features, investigations, and outcomes between single and recurrent presentations.

Main Results:

  • No distinguishing features identified at initial presentation between groups.
  • Bone isotope scans increased in recurrent cases without clinical benefit.
  • No relationship found between recurrence and subsequent abnormality; 42% of recurrences were in the contralateral hip.
  • Psychosocial factors noted more frequently in children with multiple presentations.

Conclusions:

  • The incidence of recurrent irritable hip is higher than previously reported.
  • Detailed investigations on subsequent admissions are unlikely to be beneficial for recurrent irritable hip with normal radiographs and low-grade clinical signs.

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