Transient Synovitis, Toxic Synovitis or Irritable Hip is a medical condition observed in children between 3-8 years that causes pain in the hip joint followed by limping. The underlying cause is the infection, or irritation, often causing pain, swelling, heat, or redness. সহজ বাংলা: শরীরের প্রদাহ; ব্যথা, ফোলা বা লালভাব হতে পারে।" data-rx-term="inflammation" data-rx-definition="Inflammation is the body’s response to injury, infection, or irritation, often causing pain, swelling, heat, or redness. সহজ বাংলা: শরীরের প্রদাহ; ব্যথা, ফোলা বা লালভাব হতে পারে।">inflammation in the lining of the synovial joint. Although the condition is usually transitory, it may lead to stiffness. সহজ বাংলা: বয়স/ক্ষয়ের কারণে জয়েন্টের ব্যথা।" data-rx-term="osteoarthritis" data-rx-definition="Osteoarthritis is wear-and-tear joint disease causing pain and stiffness. সহজ বাংলা: বয়স/ক্ষয়ের কারণে জয়েন্টের ব্যথা।">Osteoarthritis in the later stages of life or may recur in case the child acquires infection.
Causes
- The hip lining may be affected following a viral infection, usually of the upper respiratory system
- A fall or an injury to the hip joint
- Reaction or after effects of certain medicines or vaccines may cause infection, or irritation, often causing pain, swelling, heat, or redness. সহজ বাংলা: শরীরের প্রদাহ; ব্যথা, ফোলা বা লালভাব হতে পারে।" data-rx-term="inflammation" data-rx-definition="Inflammation is the body’s response to injury, infection, or irritation, often causing pain, swelling, heat, or redness. সহজ বাংলা: শরীরের প্রদাহ; ব্যথা, ফোলা বা লালভাব হতে পারে।">inflammation
Symptoms
- Pain in the hip, legs, thigh, groin and knee
- Change in gait as the child tends to develop a limp
- Infants may find it difficult to crawl
- The condition mostly affects one side of the hip
- The pain may develop as a mild ache and progress slowly to be severe. In other cases, there may be a sudden onset of severe hip pain
- Resting in a certain position may become particularly painful
- A catching or locking sensation may be experienced while walking
- Weight bearing may become difficult for some patients
- Some children may also have low grade fever
Diagnosis
- Detailed physical examination of the joint to check for movements that cause pain
- Palpation may be done to check if the hip is tender
- A complete detailed examination of the muscuo-skeletal system of the body to check if there is infection, or irritation, often causing pain, swelling, heat, or redness. সহজ বাংলা: শরীরের প্রদাহ; ব্যথা, ফোলা বা লালভাব হতে পারে।" data-rx-term="inflammation" data-rx-definition="Inflammation is the body’s response to injury, infection, or irritation, often causing pain, swelling, heat, or redness. সহজ বাংলা: শরীরের প্রদাহ; ব্যথা, ফোলা বা লালভাব হতে পারে।">inflammation in other joints
- Log Roll- This test is done by making the patient lie in a supine position and then roll from one side to the other
- Urine analysis
- Blood tests to check for white blood cell count
- X-ray examination of the hip joint
- Ultrasound or MRI may be conducted to check the condition of the soft tissue structures
- A sample of the synovial fluid may be drawn through aspiration and tested in a laboratory
- Bone scan may be required in some cases
Treatment
- Pain killers and anti inflammatory medicines may be prescribed to relieve the symptoms
- Heat therapy may be used to provide relief
- Bed rest for 7 to 10 days or till complete recovery may be recommended
- Physical activities like sports that pressurize the hip joint should be avoided to allow complete recovery.
