Materiały źródłowe

• #1 Transient synovitis (irritable hip)

  https://www.rch.org.au/kidsinfo/fact_sheets/Transient_synovitis/

  Transient synovitis (irritable hip) is the most common cause of limping in children. It is generally a mild condition that will get better on its own with rest, usually within two weeks. Non-steroidal anti-inflammatory drugs, e.g. ibuprofen, may help relieve the pain and reduce inflammation. […] Irritable hip cannot be prevented with any exercises, so seeing a physiotherapist is not usually required.

• #2 Physiotherapy in Kitchener for Pediatric Pain – Transient Synovitis

  https://www.kitchenerphysiotherapy.com/Injuries-Conditions/Pediatric/Pediatric-Issues/Guide-for-Transient-Synovitis-of-the-Hip-in-Children/a~3061/article.html

  Transient synovitis of the hip is an acute inflammatory condition of the inner lining of the hip. Transient means it is temporary and doesn’t last long. Transient synovitis is also known as toxic synovitis or irritable hip. This condition affects young children (boys more than girls) most often. In fact, it’s the most common cause of acute hip pain in young children between the ages of three and 10. […] The main goal of treatment for transient synovitis of the hip in children is to decrease the pain and maintain hip range of motion. […] Painful weight bearing on the injured leg should be avoided in order to decrease pain and allow healing. Some patients may need crutches to avoid painful weight bearing. […] Antiinflammatory drugs will likely be prescribed along with rest from activity during the acute phase of pain.

• #3 Hip pain in children (irritable hip)

  https://www.nhs.uk/conditions/hip-pain-children-irritable-hip/

  Hip pain in children is most often caused by a condition called irritable hip, which usually gets better on its own. But it should always be checked because it could be a sign of something serious. […] A condition called irritable hip is the most common cause of hip pain in children. This is where the hip joint becomes sore and inflamed. […] Irritable hip can be painful, but it’s not usually serious and often gets better by itself. […] Irritable hip usually gets better in 1 or 2 weeks and does not cause lasting problems. […] If your child has irritable hip, you can usually look after them at home. […] make sure they rest their leg until they are feeling better keep them off nursery or school until they have recovered […] attend any follow-up appointments recommended by your doctor or nurse. […] do not let them do any activities that could put a lot of strain on their hip for at least 2 weeks they can gradually return to their normal activities once they’re feeling better (swimming is a good way to get the joint moving again).

• #4 Hip pain in children (irritable hip) | nidirect

  https://www.nidirect.gov.uk/conditions/hip-pain-children-irritable-hip

  Hip pain in children is most often caused by a condition called irritable hip, which usually gets better on its own. But it should always be checked because it could be a sign of something serious. […] They probably just have irritable hip (inflammation of the hip joint). This isn’t serious and gets better by itself. […] Irritable hip normally gets better in one or two weeks and doesn’t cause lasting problems. […] Make sure they rest their leg until they’re feeling better. Keep them off nursery or school until they’re recovered. […] Don’t let them do any activities that could put a lot of strain on their hip for at least two weeks.

• #5 Transient synovitis (irritable hip)

  https://www.rch.org.au/kidsinfo/fact_sheets/Transient_synovitis/?hc_location=ufi

  Transient synovitis (irritable hip) is the most common cause of limping in children. It is generally a mild condition that will get better on its own with rest, usually within two weeks. Non-steroidal anti-inflammatory drugs, e.g. ibuprofen, may help relieve the pain and reduce inflammation. […] Irritable hip cannot be prevented with any exercises, so seeing a physiotherapist is not usually required. […] We estimate the recurrence rate is about 10 per cent. This means that one in 10 children will experience another episode of irritable hip.

• #6 Toxic Synovitis, or Transient Synovitis of the Hip – familydoctor.org

  https://familydoctor.org/condition/transient-synovitis-of-the-hip/

  Transient synovitis of the hip, also called toxic synovitis, is an inflammation and swelling of the tissues around the hip joint. Usually only one hip is affected. This condition is called “transient” because it lasts only a short time. Transient synovitis of the hip is the most common cause of sudden hip pain in children. […] Since doctors don’t know what causes transient synovitis of the hip, it can’t be prevented or avoided.

• #7 Patient Education | Concord Orthopaedics

  https://www.concordortho.com/patient-resources/patient-education/topic/6a26de92736dcf94633a09ceeee6aee7

  Transient synovitis of the hip is an acute inflammatory condition of the inner lining of the hip. Transient synovitis is also known as toxic synovitis or irritable hip. This condition affects young children (boys more than girls) most often. In fact, it’s the most common cause of acute hip pain in young children between the ages of three and 10. […] The exact cause of this problem is unknown. In some cases, it may develop after a recent viral infection (such as a cold or upper respiratory infection). In a smaller number of children, trauma to the hip is followed by transient synovitis. […] Home treatment with rest and antiinflammatory drugs are the main treatment techniques. It is okay if your child keeps the leg turned out. Any position that is comfortable will help the healing process.

• #8 Irritable hip in children

  https://www.hcahealthcare.co.uk/conditions/irritable-hip-in-children

  Irritable hip, sometimes knows as transient synovitis, is a temporary condition which flares up when a hip joint becomes sore or inflamed. Its the most common cause of hip pain in children but its not serious and often clears up on its own with rest and non-prescription pain medication. […] What causes irritable hip in children? We dont yet know what causes irritable hip, but your child can sometimes be more at risk if theyve had a viral infection or a fall. […] Thankfully, most cases of irritable hip arent serious, and your childs hip should get better with just a period of rest. You can also use over-the-counter pain medication such as ibuprofen or paracetamol to help with their comfort and recovery. […] Your child should avoid physical play or exertion for a couple of weeks after the irritation has passed. Gentle swimming may help their recovery during that time, and they can slowly return to being active after a couple of weeks of being pain-free.

• #9 Dr. Leo Donnan – Paediatric & Adult Orthopaedic Surgeon – Irritable Hip

  https://leodonnan.com.au/irritable-hip/

  Irritable hip (also called Transient Synovitis of the hip) involves inflammation of the lining (synovium) of the hip joint. […] It is the most common cause of hip pain in children and a common cause of limping. […] The usual management involves resting the affected hip, usually by resting your child at home. […] Careful follow up examination with your orthopaedic doctor is important to ensure your childs hip pain and hip movement improves. […] If a child does not have the opportunity to rest their hip for enough time it will often take longer to resolve. […] It may also make your child more at risk of having a recurrence of an irritable hip in the future.

• #10 Dr. Skand Kumar’s Ortho Clinic – Irritable hip

  https://www.orthohyd.com/joint-replacement-ortho-trauma-surgery/common-orthopaedic-problems-conditions/irritable-hip

  Transient synovitis of the hip is an acute inflammatory condition of the inner lining of the hip. […] This condition affects young children (boys more than girls) most often. In fact, it’s the most common cause of acute hip pain in young children between the ages of three and 10. […] Home treatment with rest and antiinflammatory drugs are the main treatment techniques. […] Vigorous physical activities such as running, jumping, and participating in sports activities should be avoided during the acute phase. […] Follow-up with your doctor is important. If the symptoms aren’t improved or improving after seven to 10 days, then contact your child’s doctor.

• #11 Hip pain in children – Treating irritable hip | Clear Chemist

  https://www.clearchemist.co.uk/az-health/hip-pain-in-children/treating-irritable-hip

  Most children with irritable hip can be treated at home using a combination of painkillers and bed rest. […] Bed rest is recommended until the symptoms of pain resolve, which usually takes between seven and 10 days. […] It usually takes a couple of weeks to recover from irritable hip, although your GP may recommend that your child does not play sport or take part in any strenuous activities for at least another two weeks following treatment. This is to reduce the chances of irritable hip returning.

• #12 Irritable Hip Treatment Aurangabad| Hip Arthritis | Hip Pain Care India

  https://orthopedicsindia.com/paediatric-orthopaedic-irritable-hip.html

  Irritable hip syndrome, also known as acute transient synovitis is a common cause of acute hip pain in children and there is swelling of tissues around the hip joint. […] Irritable hip occurs in children before puberty. Boys are affected two to four times as often as girls. […] The main symptom of irritable hip syndrome in children is pain in one of the hips. […] Most children with irritable hip can be treated at home using a combination of painkillers and bed rest. […] Bed rest is recommended until the symptoms of pain resolve, which usually takes around 7 to 10 days. […] It usually takes a fortnight to recover from irritable hip, although your doctor may recommend that the child does not play sport or take part in any strenuous activities for at least another two weeks following treatment. This is to reduce the chance of irritable hip returning.

• #13 Irritable Hip Dallas | Hip Pain Rockwall | Acute Transient Synovitis Rowlett

  https://www.aliashrafmd.com/irritable-hip-orthopaedic-sports-medicine-specialist-dallas-rockwall-rowlett/

  Irritable hip, also known as acute transient synovitis, is a common disorder of childhood characterized by hip pain and limping. […] The treatment of an irritable hip includes medications and bed rest. Painkillers or anti-inflammatory drugs (NSAIDs) are prescribed to help relieve pain and reduce inflammation. […] Swimming is a great exercise to strengthen and regain the movement of the hip joint.

• #14 Irritable Hip Portland | Hip Injury Treatment | Hip Pain Treatment Gresham

  https://www.fischerjoints.com/irritable-hip.html

  Irritable hip, also known as acute transient synovitis, is a common disorder of childhood characterized by onset of hip pain and limping. The term transient means that it does not usually last long. It usually occurs before puberty and affects only one hip. Boys aged between 4 to 10 years are most often affected 2 to 4 times more than girls. […] The treatment of irritable hip includes medications and bed rest. Painkillers or anti-inflammatory drugs (called NSAIDS) are prescribed to help relieve pain and reduce inflammation. […] Swimming is a great exercise to strengthen and regain the movement of the hip joint.

• #15 Transient Synovitis (Irritable Hip) – Essential Parent

  https://hospital.essentialparent.com/lesson/transient-synovitis-irritable-hip/

  Irritable hip (or transient synovitis) is the most common cause of a limp in children. It is due to inflammation of the lining of the hip joint. […] It is most often seen in children aged between 3 and 10 years old and affects more boys than girls. […] It is important that you encourage your child to rest at home. Your child should not attend school or nursery until they have recovered. Your child will naturally adopt the most comfortable position for themselves. Allow your child to gradually go back to their usual activities as they improve, but they should not play sport or undertake any strenuous activities until completely better.

• #16 Review for the generalist: evaluation of pediatric hip pain | Pediatric Rheumatology | Full Text

  https://ped-rheum.biomedcentral.com/articles/10.1186/1546-0096-7-10

  Hip pathology may cause groin pain, referred thigh or knee pain, refusal to bear weight or altered gait in the absence of pain. […] A young child with an irritable hip poses a diagnostic challenge. […] Transient synovitis, one of the most common causes of hip pain in children, must be differentiated from septic arthritis. […] Untreated intra-articular infection can lead to a permanent loss of hip function making it extremely important to differentiate possible infection from benign cases of transient synovitis. […] Transient synovitis typically has an acute onset, and spontaneous recovery with no radiological abnormality or systemic upset. […] It is a self-limited condition with no recognized long-term sequelae and can be managed with oral analgesics and observation. […] Transient synovitis recurs in up to 15% of children, and may affect the same or opposite hip.

• #17 Toxic synovitis in children and adults: What to know

  https://www.medicalnewstoday.com/articles/322163

  Toxic synovitis, also called transient synovitis or irritable hip, is a condition that causes inflammation and pain in the hip. It primarily affects children. […] Toxic synovitis primarily affects children, and it may also occur in adults. However, adult cases are rare and have not been documented well. […] The condition is most common in children between the ages of 3 and 8. […] Toxic synovitis is more prevalent in boys than girls. […] A child should fully recover within 12 weeks. […] Toxic synovitis causes no long-term complications. However, some children develop it multiple times. […] A child with toxic synovitis who receives basic treatment will usually make a full recovery within 2 weeks. […] It is essential to see a doctor for a proper diagnosis so that they can rule out more serious conditions.

• #18 Bone Clinic & Neurosurgeon Contact us: +65 31381235 Transient Synovitis of the Hip

  https://www.boneclinic.com.sg/orthopaedic-conditions/child-orthopaedics/transient-synovitis-of-the-hip/

  Transient synovitis of the hip is an acute inflammatory condition of the inner lining of the hip. Transient means it is temporary and doesn’t last long. Transient synovitis is also known as toxic synovitis or irritable hip. […] This condition affects young children (boys more than girls) most often. In fact, it’s the most common cause of acute hip pain in young children between the ages of three and 10. […] Home treatment with rest and antiinflammatory drugs are the main treatment techniques. It is okay if your child keeps the leg turned out. Any position that is comfortable will help the healing process. […] Follow-up with your doctor is important. If the symptoms aren’t improved or improving after seven to 10 days, then contact your child’s doctor. There could be something else wrong with your child’s hip. Further diagnostic testing may be required. Even if your child has recovered fully, a repeat X-ray is advised. This should be done about six months after the first episode occurs. It will help identify any early signs of Legg-Calve-Perthes disease.

• #19 Patient Education | Concord Orthopaedics

  https://www.concordortho.com/patient-resources/patient-education/topic/6a26de92736dcf94633a09ceeee6aee7

  Follow-up with your doctor is important. If the symptoms aren’t improved or improving after seven to 10 days, then contact your child’s doctor. There could be something else wrong with your child’s hip. Further diagnostic testing may be required. Even if your child has recovered fully, a repeat X-ray is advised. This should be done about six months after the first episode occurs. It will help identify any early signs of Legg-Calve-Perthes disease.

• #20 Irritable Hip (transient synovitis) | Hull University Teaching Hospitals NHS Trust

  https://www.hey.nhs.uk/patient-leaflet/irritable-hip-transient-synovitis/

  Irritable hip (or transient synovitis) is a temporary inflammation of the hip which is common in children. The inflammation of the hip causes the child to limp and may complain of pain in the hip or leg. The exact cause is not known but it commonly happens after a viral illness or a minor injury. Irritable hip usually goes away after 1-2 weeks and does not cause any long-term problems. A small number of children will go on to have further episodes. […] You should also see a doctor if your child is not better after 1-2 weeks. […] You should encourage your child to rest the affected leg as much as possible whilst they are sore. Your child should not attend school or nursery until they have recovered.

• #21 Transient Synovitis: Practice Essentials, Pathophysiology and Etiology, Epidemiology

  https://emedicine.medscape.com/article/1007186-overview

  Transient synovitis (TS) is the most common cause of acute hip pain in children aged 3-10 years. The disease causes arthralgia and arthritis secondary to a transient inflammation of the synovium of the hip. […] In 80-85% of children who present with a limp in the absence of trauma, transient synovitis of the hip is the cause. […] Advise parents and/or caregivers to initially check the temperature of the patient with transient synovitis regularly and inform the physician of any fever.

• #22 Review for the generalist: evaluation of pediatric hip pain

  https://pmc.ncbi.nlm.nih.gov/articles/PMC2686695/

  Hip pathology may cause groin pain, referred thigh or knee pain, refusal to bear weight or altered gait in the absence of pain. A young child with an irritable hip poses a diagnostic challenge. Transient synovitis, one of the most common causes of hip pain in children, must be differentiated from septic arthritis. […] Untreated intra-articular infection can lead to a permanent loss of hip function making it extremely important to differentiate possible infection from benign cases of transient synovitis. […] Transient synovitis typically has an acute onset, and spontaneous recovery with no radiological abnormality or systemic upset. It occurs between the ages of 2 and 10 years (peaking between 5 and 6 years) and is more common in boys, often preceded by viral infection. It is a self-limited condition with no recognized long-term sequelae and can be managed with oral analgesics and observation.

• #23 Review for the generalist: evaluation of pediatric hip pain

  https://pmc.ncbi.nlm.nih.gov/articles/PMC2686695/

  Children with septic arthritis appear ill and early management with surgical drainage and intravenous antibiotics is necessary to prevent bony destruction and preserve hip function. A septic hip is a surgical emergency. […] Septic arthritis is rare if there are less than 25,000 white blood cells per mm3 or less than 75% polymorphonuclear cells. […] Clinical prediction rules serves as guidelines but clinical judgment ultimately dictates patient management.

• #24 Review for the generalist: evaluation of pediatric hip pain | Pediatric Rheumatology | Full Text

  https://ped-rheum.biomedcentral.com/articles/10.1186/1546-0096-7-10

  Children with septic arthritis appear ill and early management with surgical drainage and intravenous antibiotics is necessary to prevent bony destruction and preserve hip function. […] A septic hip is a surgical emergency. […] Clinical prediction rules serves as guidelines but clinical judgment ultimately dictates patient management.

• #25 Transient Synovitis of the Hip | Lurie Children’s

  https://www.luriechildrens.org/en/specialties-conditions/transient-synovitis/

  Transient synovitis of the hip (also called irritable hip or toxic synovitis) is a common cause of sudden-onset hip pain and limping in young children. […] Irritable hip is a condition which gets better without treatment, usually within five to seven days; however symptoms last several weeks in some children. […] Children should be brought to see a doctor right away if symptoms worsen to rule out other conditions.

• #26 Hip Pain | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/hip-pain

  When young people experience hip pain, it is often a symptom of an injury or underlying disorder. […] Whatever the cause, early treatment can have a long-term positive effect on the health and mobility of your child’s hip. Often, it can prevent the condition from becoming more severe. […] If left untreated, hip pain can become worse and eventually lead to early arthritis. Therefore, it’s very important to have your child’s hip examined by a specialist who can diagnose the problem and treat it appropriately. […] Non-invasive treatment may include rest, ice, anti-inflammatory medication, and physical therapy. […] While unplanned downtime from sports or physical activity may be unwelcome, it may be essential to slow or stop the progression of a serious hip condition so that your child can return to activity with a greatly reduced risk of hip problems in the future.

• #27 Treatment of Transient Hip Tenosynovitis with NSAIDs | AAFP

  https://www.aafp.org/pubs/afp/issues/2003/0115/p406.html

  Transient tenosynovitis of the hip (irritable hip) is a common emergency department problem among children three to 10 years of age. […] Treatment options also have been unclear. […] The authors conclude that hip tenosynovitis symptoms may resolve more quickly with the use of ibuprofen, probably secondary to the NSAID’s anti-inflammatory effects rather than its analgesic effects. Treatment with ibuprofen is safe and well tolerated.

• #28 Irritable Hip In Children | KidsHealth New Zealand’s Trusted Voice On Children’s Health

  https://www.kidshealth.org.nz/irritable-hip-in-children

  Irritable hip is one of the most common causes of limping in tamariki (children). […] You can look after your child at home. […] It usually takes 2 weeks until tamariki fully recover. […] Medicine (ibuprofen) and rest help with healing. […] You can usually look after your child with irritable hip at home. […] You don’t need antibiotics because irritable hip is not caused by a bacterial infection. […] Encourage your child to rest and to limit their activity. […] Encourage your child to drink plenty of fluid. […] No. Tamariki who have had irritable hip do not develop long-term problems in their hips.

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