Transient Synovitis of Hip (Transitory Coxitis, Acute Transient Epiphysitis, Coxitis Fugax, Coxitis Serosa Seu Simplex, Phantom Hip Disease, Toxic Synovitis, and Observation Hip)

Arthritis is a frequent complication of infection in humans withBorrelia burgdorferi. Weeks to months following the onset of Lyme borreliosis, a histopathological reaction characteristic of synovitis including bone, joint, muscle, or tendon pain may occur. A subpopulation of patients may progress to a chronic, debilitating arthritis months to years after infection which has been classified as severe destructive Lyme arthritis. This arthritis involves focal bone erosion and destruction of articular cartilage. Hamsters and mice are animal models that have been utilized to study articular manifestations of Lyme borreliosis. Infection of immunocompetent LSH hamsters or C3H mice results in a transient synovitis. However, severe destructive Lyme arthritis can be induced by infecting irradiated hamsters or mice and immunocompetentBorrelia-vaccinated hamsters, mice, and interferon-gamma- (IFN-γ-) deficient mice with viableB. burgdorferi. The hamster model of severe destructive Lyme arthritis facilitates easy assessment of Lyme borreliosis vaccine preparations for deleterious effects while murine models of severe destructive Lyme arthritis allow for investigation of mechanisms of immunopathology.

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TRANSIENT SYNOVITIS OF THE HIP JOINT IN CHILDREN

PEDIATRICS ◽

10.1542/peds.24.6.1042 ◽

1959 ◽

Vol 24 (6) ◽

pp. 1042-1049 ◽

Cited By ~ 1

Author(s):

Alexander Spock

Keyword(s):

Hip Joint ◽

Streptococcal Infection ◽

Weight Bearing ◽

Bed Rest ◽

Transient Synovitis ◽

Treatment Results ◽

B Virus ◽

Coxsackie B Virus ◽

Roentgenographic Examination ◽

Coxsackie B

A clinical review of 47 eases of transient synovitis of the hip joint occurring in patients less than 14 years of age is presented. Evidence from clinical, bacteriologic and serologic data is presented to show that in four patients acute streptococcal infection was associated with the development of transient synovitis. In one other patient clinical and serologic data disclosed a similar parallelism with an infection by the Coxsackie B virus. These findings suggest that these agents may be among those etiologically responsible for this syndrome. An obese or stocky physique probably predisposes a child to this disease. Patients with transient synovitis do not have any diagnostic abnormalities which can be detected by roentgenographic examination. Prevention of weight bearing by bed rest until the patient is completely asymptomatic provides the best form of therapy, and failure to follow such treatment results in prolongation of the illness. Antibiotics do not appear to influence the course of the disease. Three patients in this series developed Legg-Perthes disease within an interval of 3 to 17 months after convalescing from transient synovitis of the hip.

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The Non-operative Management of Hip Disease in Young Adults

The Young Adult Hip in Sport ◽

10.1007/978-1-4471-5412-9_12 ◽

2013 ◽

pp. 135-148

Author(s):

Noel Pollock ◽

David Hulse

Keyword(s):

Young Adults ◽

Operative Management ◽

Hip Disease ◽

Non Operative Management

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Bilateral Destructive Hip Disease from Untreated Juvenile Idiopathic Arthritis

Case Reports in Orthopedics ◽

10.1155/2019/4593129 ◽

2019 ◽

Vol 2019 ◽

pp. 1-6

Author(s):

Arash Calafi ◽

Alton W. Skaggs ◽

Trevor J. Shelton ◽

Brian M. Haus

Keyword(s):

Juvenile Idiopathic Arthritis ◽

Case Report ◽

Femoral Head ◽

Pediatric Patient ◽

Acetabular Dysplasia ◽

Pediatric Patients ◽

Similar Case ◽

Hip Pain ◽

Complete Destruction ◽

Hip Disease

We report a novel case of a pediatric patient with bilateral hip destruction from untreated Juvenile idiopathic arthritis (JIA). She was presented at the age of 9 with hip pain associated with bilateral acetabular dysplasia and a dislocated left femoral head. Only 1.5 years later, the patient developed complete destruction of the left femoral head and dislocated right femoral head. The authors have not identified literature describing a similar case report of bilateral femoral head destruction resulting from Persistent Oligoarticular JIA. Pediatric patients presenting with rapidly evolving destructive process should be evaluated for rheumatologic, infectious, and spinal etiologies.

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