Bilateral Synovitis in symptomatic unilateral transient synovitis of the hip: an ultrasonographic study in 56 children
Date
1996
Authors
Ehrendorfer, S.
LeQuesne, G.
Penta, M.
Smith, P.
Cundy, P.
Editors
Advisors
Journal Title
Journal ISSN
Volume Title
Type:
Journal article
Citation
Acta Orthopaedica, 1996; 67(2):149-152
Statement of Responsibility
Stefan Ehrendorfer, Garry Lequesne, Mario Penta, Paul Smith and Peter Cundy
Conference Name
Abstract
56 children with a clinical diagnosis of unilateral transient synovitis of the hip underwent bilateral sonographic assessment. On the anterior scan, the distance between the femoral neck and the fibrous joint capsule was measured. This distance, which we call the synovial capsular complex distance, was compared with age-dependent normal values. An in-creased distance was found in all 56 symptomatic hips (mean 10 mm, SD 1.8). This distance was also increased in 14 hips on the contralateral side (mean 8 mm, SD 1.6). An effusion was demonstrated in 53 symptomatic hips and in 8 hips on the contralateral side. These findings indicate that in one quarter of children with symptoms of unilateral transient synovitis the contralateral hip may have an increased synovial capsular complex distance due to synovial swelling or joint effusion, suggesting an asymptomatic synovitis. We therefore recommend a comparison of the synovial capsular complex distance on the symptomatic side with age-related normal values, in addition to a comparison with the asymptomatic hip.
School/Discipline
Dissertation Note
Provenance
Description
Access Status
Rights
Copyright © Scandinavian University Press 1996