A literature review of diagnosing transient synovitis hip disease English
Abstract
Transient synovitis (TS), an abrupt, non-specific synovium inflammation, is the most prevalent cause of pediatric hip discomfort. Transient synovitis affects 3–10-year-olds. This disease is benign and self-limiting, but clinicians must distinguish it from an acute infection. After ruling out other causes of hip discomfort and limping, clinicians detect transient synovitis. Based on the patient's history, physical examination, and hip radiography, septic arthritis (SA) and TS care are the most likely causes. Clinicians must consider clinical factors and order appropriate lab and imaging tests to rule out alternative illnesses. This review aims to determine how to propose TS hip disease. The databases used were Scopus and PubMed. We included seven articles in our review. Clinical symptoms, lab testing, and radiographs determine the diagnosis. Ultrasound is a useful TS diagnostic tool since it is widely available, and children are not directly exposed to ionizing radiation. If TS and SA illnesses, which are commonly linked, are unclear, detecting bone marrow abnormalities, soft tissue lesions, synovial enhancement, and joint effusion by MRI can be beneficial. Laboratory tests help distinguish TS from SA because there are more extensive evaluations. Additionally, the healthcare provider performs a hip joint aspiration examination under ultrasound or fluoroscopy.
References
Adam, M., Ibrahim, B., Khidir, R., Elmahdi, E., Ahmed, S., & Ahmed, A. (2022). Usefulness of MRI findings in differentiating between septic arthritis and transient synovitis of hip joint in children: A systematic review and meta-analysis. European Journal of Radiology Open, 9(August), 100439. https://doi.org/10.1016/j.ejro.2022.100439
Alomar, M. J. (2012). Transient synovitis of the hip as a complication of chickenpox in infant : Case study. Saudi Pharmaceutical Journal, 20(3), 279–281. https://doi.org/10.1016/j.jsps.2011.12.008
British Medical Journal. (1973). Transient Synovitis and Perthes’s Disease. Br Med, 14, 62–63.
Do, T. T. (2000). Transient synovitis as a cause of painful limps in children. Current Opinion in Pediatrics, 12(1), 48–51.
Dubois-Ferrière, V., Belaieff, W., Lascombes, P., De Coulon, G., & Ceroni, D. (2015). Transient synovitis of the hip: Which investigations are truly useful? Swiss Medical Weekly, 145(August), 1–8. https://doi.org/10.4414/smw.2015.14176
Givon U, Liberman B, Schindler A, Blankstein A, G. A. (2004). Treatment of septic arthritis of the hip joint by repeated ultrasound-guided aspirations. Journal Pediatri Orthopedics, 24(3), 266–270.
Gordon JE, Huang M, Dobbs M, Luhmann SJ, Szymanski DA, S. P. (2002). Causes of false-negative ultrasound scans in the diagnosis of septic arthritis of the hip in children. Journal Pediatri Orthopedics, 22(3), 312–316.
Harrison, W. D., Vooght, A. K., Singhal, R., Bruce, C. E., & Perry, D. C. (2014). The epidemiology of transient synovitis in Liverpool, UK. Journal of Children’s Orthopaedics, 8(1), 23–28. https://doi.org/10.1007/s11832-014-0556-5
Hill SA, MacLarnon JC, N. D. (1990). Ultrasound-guided aspiration for transient synovitis of the hip. Journal of Bone and Joint Surgery, 72(5), 852–853. https://doi.org/doi: 10.1302/0301-620X.72B5.2211770
Hopkins KL, Li KC, B. G. (1995). Gadolinium-DTPA-enhanced magnetic resonance imaging of musculoskeletal infectious processes. Skeletal Radiology, 24(5), 325–330.
Kang, M. S., Jeon, J. Y., & Park, S. S. (2020). Differential MRI findings of transient synovitis of the hip in children when septic arthritis is suspected according to symptom duration. Journal of Pediatric Orthopaedics Part B, 29(3), 297–303. https://doi.org/10.1097/BPB.0000000000000671
Kang MS, Jeon JY, P. S. (2020). Differential MRI findings of transient synovitis of the hip in children when septic arthritis is suspected according to symptom duration. Journal of Pediatric Orthopaedics, 29(3), 297–303. https://doi.org/doi: 10.1097/BPB.0000000000000671.
Kang, Y. R., & Koo, J. (2017). Ultrasonography of the pediatric hip and spine. Ultrasonography, 36(3), 239–251. https://doi.org/10.14366/usg.16051
Kesteris U, Wingstrand H, Forsberg L, E. N. (1996). The effect of arthrocentesis in transient synovitis of the hip in the child: a longitudinal sonographic study. Journal Pediatri Orthopedics, 16(1), 24–29. https://doi.org/doi: 10.1097/00004694-199601000-00006. PMID: 8747350
Kim, E. Y., Kwack, K. S., Cho, J. H., Lee, D. H., & Yoon, S. H. (2012). Usefulness of dynamic contrast-enhanced MRI in differentiating between septic arthritis and transient synovitis in the hip joint. American Journal of Roentgenology, 198(2), 428–433. https://doi.org/10.2214/AJR.11.6937
Kocher MS, Zurakowski D, K. J. (1999). Differentiating between septic arthritis and transient synovitis of the hip in children: an evidence-based clinical prediction algorithm. Journal Bone Joint Surgery, 1(12), 1662–1670. https://doi.org/doi: 10.2106/00004623-199912000-00002
Koukoulas D, A. A. (2014). Hip Pain in Children, a Diagnostic Challenge: Transient Synovitis or Septic Arthritis in Early Stage? Emergency Medicine: Open Access, 04(04). https://doi.org/10.4172/2165-7548.1000195
Kwack, K. S., Cho, J. H., Jei, H. L., Jae, H. C., Ki, K. O., & Sun, Y. K. (2007). Septic arthritis versus transient synovitis of the hip: Gadolinium-enhanced MRI finding of decreased perfusion at the femoral epiphysis. American Journal of Roentgenology, 189(2), 437–445. https://doi.org/10.2214/AJR.07.2080
Landin, LA, LG Danielsson, C. W. (1987). Transient synovitis of the hip. Its incidence, epidemiology and relation to Perthes’ disease. The Journal of Bone and Joint Surgery, 69(2), 238–242.
Lee, S. K., Suh, K. J., Kim, Y. W., Ryeom, H. K., Kim, Y. S., Lee, J. M., Chang, Y., Kim, Y. J., & Kang, D. S. (1999). Septic arthritis versus transient synovitis at MR imaging: preliminary assessment with signal intensity alterations in bone marrow. Radiology, 211(2), 459–465. https://doi.org/10.1148/radiology.211.2.r99ma47459
Liberman, B., Herman, A., Schindler, A., Sherr-Lurie, N., Ganel, A., & Givon, U. (2013). The value of Hip aspiration in pediatric transient synovitis. Journal of Pediatric Orthopaedics, 33(2), 124–127. https://doi.org/10.1097/BPO.0b013e31827268b8
Nouri, A., D. Walmsley, B. Pruszczynski, M. S. (2014). Transient synovitis of the hip: a comprehensive review. Journal Pediatri Orthopedics B, 23(1), 32–36. https://doi.org/doi: 10.1097/BPB.0b013e328363b5a3.
Pauroso, S., Di Martino, A., Tarantino, C. C., & Capone, F. (2011). Transient synovitis of the hip: Ultrasound appearance. Mini-pictorial essay. Journal of Ultrasound, 14(2), 92–94. https://doi.org/10.1016/j.jus.2011.03.003
Rutz e, S. M. (2013). Septic arthritis of the paediatric hip - A review of current diagnostic approaches and therapeutic concepts. Acta Orthopaedica Belgia, 79(2), 123–134.
Ryan, D. D. (2016). Differentiating Transient Synovitis of the Hip from More Urgent Conditions. Pediatri Ann, 1(45), 209–213. https://doi.org/doi: 10.3928/00904481-20160427-01.
Skinner, J., S. Glancy, T. F. Beattie, G. M. H. (2002). Transient synovitis: is there a need to aspirate hip joint effusions? European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine, 9(1), 15–18. https://doi.org/DOI: 10.1097/00063110-200203000-00005
Sultan, J., & Hughes, P. J. (2010). Septic arthritis or transient synovitis of the hip in children THE VALUE OF CLINICAL PREDICTION ALGORITHMS. 92(9), 1289–1293. https://doi.org/10.1302/0301-620X.92B9.24286
Tay, G., Ashik, M., Tow, B., & BL Lim, K. (2013). Hip Pain in The Paediatric Age Group - Transient Synovitis Versus Septic Arthritis. Malaysian Orthopaedic Journal, 7(2), 27–28. https://doi.org/10.5704/moj.1307.011
Tompkins M, Bruce BG, E. C. (2014). Septic Hip, Or Transient Synovitis? Assessing The Diagnostic Utility Of Ketorolac Administration In Children. Pain Medicine (United States), 13(12).
Watanabe, H., Kikkawa, I., Hagiwara, K., Sugawara, R., Inoue, H., & Takeshita, K. (2015). Severe Transient Synovitis Differential Dianosis from Septic Arthritis. 24(2), 1–6.
Whitelaw CC, V. M. (2022). Transient Synovitis. In Transient Synovitis. StatPearls Publishing LLC. https://www.ncbi.nlm.nih.gov/books/NBK459181/
Yang, W. J., Im, S. A., Lim, G. Y., Chun, H. J., Jung, N. Y., Sung, M. S., & Choi, B. G. (2006). MR imaging of transient synovitis: Differentiation from septic arthritis. Pediatric Radiology, 36(11), 1154–1158. https://doi.org/10.1007/s00247-006-0289-9
ZamZam MM. (2006). The role of ultrasound in differentiating septic arthritis from transient synovitis of the hip in children. Journal Pediatri Orthopedics B, 15(6), 418–422.
Zoabi, M., Kvatinsky, N., & Shavit, I. (2021). Evaluation of a Point-of-Care Ultrasonography Decision-Support Algorithm for the Diagnosis of Transient Synovitis in the Pediatric Emergency Department. JAMA Network Open, 4(7), 2021–2023. https://doi.org/10.1001/jamanetworkopen.2021.16915
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Copyright (c) 2024 Panji - Sananta, Agung Ismanuworo, Eka Noviya Fuzianingsih
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