Generally, these children exhibit no significant pain on palpation and do not present with marked limping Vector illustration along the longitudinal plane of the psoas major highlights important anatomical landmarks including the psoas major muscle, iliacus and inguinal ligaments besides the bony landmarks of anterior superior iliac spine and anterior inferior iliac spine. Toxic synovitis, which is also known as transient synovitis for its transient aseptic inflammatory nature is a much milder infection and is presumed to be a post viral syndrome of sorts. Toxic synovitis is the diagnosis with the highest incidence rate (6) but remains a diagnosis of exclusion. Elevated white count and inflammatory markers (ESR and CRP) and decreased range of motion at the hip (presumably due to inflammatory fluid in the joint space) may help point towards this diagnosis as well (1). Septic arthritis, a surgical emergency, is always to be suspected when a child of any age presents with hip pain, fever, irritability and toxic appearance without a history of trauma. In this setting, the differential can vary from relatively harmless conditions like transient synovitis to life threatening septic arthritis, which is the most dreaded possibility requiring a swift diagnosis to avoid destruction of the articular cartilage and reduce the risk of developing early arthritis. University of Arkansas for Medical SciencesĪ very common sighting in any pediatric emergency department is the child who presents with refusal to bear weight, sudden limp or atypical irritability and crankiness.Interventional Radiology Interest Group.Early Specialization in Interventional Radiology Program.Interventional Radiology Independent Residency Program.Interventional Radiology Integrated Residency.Pediatric Radiology On Call Survival Guide.
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