Thursday, February, 09, 2012

Toxic synovitis

Table of Contents

Alternative Names

Synovitis - toxic; Transient synovitis


Symptoms

Symptoms may include:

  • Hip pain (on one side only)
  • Limp
  • Thigh pain, in front and toward the middle of the thigh
  • Knee pain
  • Low-grade fever, less than 101° Fahrenheit

Aside from the hip discomfort, the child does not usually appear ill.


Signs and tests

Toxic synovitis is diagnosed when other, more serious conditions have been ruled out, such as:

  • Septic hip
  • Slipped capital femoral epiphysis
  • Legg-Calve-Perthes disease

Tests used to diagnose toxic synovitis include:

  • Ultrasound of the hip
  • X-ray of the hip
  • ESR
  • C-reactive protein (CRP)
  • Complete blood count (CBC)

Other tests that may be done to rule out other causes of hip pain:

  • Aspiration of fluid from the hip joint
  • Bone scan
  • MRI


Review Date: 11/02/2009
Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)