Basildon EM Handbook 2018

Irritable Hip

March 2018 | by EMauthor

•Also called transient synovitis

•Unknown aetiology but may follow upper respiratory tract infection

•The child will be systemically well

•There may be tenderness over the hip joint and some limitation of movement

•X-ray may be normal or may show mild to moderate hip effusion

•WCC , CRP and ESR are usually normal or minim ally elevated

•Differential diagnosis include septic arthritis or SUFE, if these condition can be excluded then the child does not admission

•Arrange a follow up initially within 2 – 3 days, discuss with consultant whether the follow up is with ED or fracture clinic

Links

•HOSPITAL ADMISSION

•HOME

•INTRANET HUB