Volume 27, Issue 133, March 2023

Transient hip synovitis in an early adolescent: A rare case report

Sahil Dhaka¹, Onkar Dighe¹, Priyanka Yadav¹, Harshith Gowda KB^2♦, Parihar PH³

¹Intern, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Sawangi (Meghe), Wardha, Maharashtra, India
²Junior Resident, Department of Radiology, Acharya Vinoba Bhave Rural Hospital, Datta Meghe Institute of Higher Education and Research, Sawangi (Meghe), Wardha, Maharashtra, India
³Professor, Department of Radiology, Acharya Vinoba Bhave Rural Hospital, Datta Meghe Institute of Higher Education and Research, Sawangi (Meghe), Wardha, Maharashtra, India

^♦Corresponding author
Junior Resident, Department of Radiology, Acharya Vinoba Bhave Rural Hospital, Datta Meghe Institute of Higher Education and Research, Sawangi (Meghe), Wardha, Maharashtra, India

ABSTRACT

Transient hip synovitis (THS) is a sudden and self-limiting inflammation targeting the synovial lining of the hip. It is the commonest cause of nontraumatic hip pain and limping in kids in the age group of 3-8 years, where males are more prone than females and very rarely seen in adults, hence not regarded as an adult illness and most often affects one hip joint. Hence, the patient mainly presents with unilateral hip or groin pain which may worsen on walking and lead to limping; however, some patients also report medial thigh and knee pain. The exact pathology of THS is not known. Still, many patients have reported a pre-existing viral infection. In this case a 24 years old male patient presented with the complaint of acute left hip pain which was further examined and diagnosed as a rare case of THS in adults by using MRI as the primary diagnostic strategy; the patient was shifted to the ward and was managed conservatively with symptomatic treatment and was discharged with good outcomes.

Keywords: Hip pain, Transient Hip Synovitis, Septic arthritis, MRI

Medical Science, 2023, 27, e137ms2894

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DOI: https://doi.org/10.54905/disssi/v27i133/e137ms2894

Published: 11 March 2023