Abstract

Differential diagnosis includes a wide spectrum of pathological conditions, some of which require urgent investigation and treatment. Trauma, Legg-CalvePerthes disease, Slipped Femoral Capital Epiphysis (SFCE), arthritis, transient synovitis, joint sepsis, osteomyelitis and rarely primary or metastatic bone tumors, may be the cause of hip pain in a limping child [1,2]. A prompt and accurate diagnosis is vital for the child’s health.

Highlights

  • Hip pain in children is a diagnostic challenge for every practitioner in emergency medicine and for any other doctor or health professional, facing this common symptom

  • Diagnosis may vary from innocent conditions such as Transient Synovitis (TS), mentioned as “irritable hip”, to hazardous for the child health diseases like Septic symptoms, in case of SA, a destruction or dislocation of the femoral head or a widespread destruction of the femoral head and neck may be visible radiographically

  • “Septic arthritis of the hip joint in children is an emergency” [3] and early diagnosis followed by appropriate treatment guarantees a good outcome

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Summary

Introduction

Hip pain in children is a diagnostic challenge for every practitioner in emergency medicine and for any other doctor or health professional, facing this common symptom. Hip Pain in Children, a Diagnostic Challenge: Transient Synovitis or Septic Arthritis in Early Stage? Diagnosis may vary from innocent conditions such as Transient Synovitis (TS), mentioned as “irritable hip”, to hazardous for the child health diseases like Septic symptoms, in case of SA, a destruction or dislocation of the femoral head or a widespread destruction of the femoral head and neck may be visible radiographically.

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Conclusion
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