Our results are with those reported in the literature. They confirm that varicoceles are a frequent finding and ultrasonography is currently the best imaging technique for its diagnosis and also for the post-surgery follow-up.
KEYWORDSTransient synovitis; Hip; Hip pain; Ultrasonography.Abstract We describe the ultrasound (US) appearance of transient synovitis. Transient synovitis of the hip typically occurs in 3 to 8-year-old children. The onset is clinically characterized by acute hip pain and limp with limited joint mobility, and the leg is usually held in a position of flexion and external rotation to avoid pain. US image is characterized by joint effusion in the hip joint anterior recess, as described in the literature. Our experience confirms the importance of the technique with which the US examination is performed. In order to obtain the best diagnostic information the hip must be examined with the patient in the supine position and the hip joint in a neutral position (abduction of the hip with extension and slight external rotation) by means of an anterior approach along the long axis of the femoral neck in the parasagittal plane.Sommario Viene descritto l'aspetto ecografico della sinovite transitoria dell'anca. La sinovite transitoria dell'anca colpisce tipicamente i pazienti di età pediatrica, compresa tra 3 ed 8 anni; il suo esordio è clinicamente caratterizzato da un'insorgenza acuta di dolore all'anca e zoppicamento con limitata motilità articolare ed atteggiamento antalgico in flessione ed extra-rotazione. L'aspetto ecografico è caratterizzato da versamento articolare a livello del recesso anteriore dell'anca, come descritto in letteratura. La nostra esperienza conferma l'importanza della tecnica di esecuzione dell'ecografia, infatti per ottenere le migliori informazioni diagnostiche l'anca deve essere esaminata a paziente supino con l'articolazione in posizione indifferente (estensione e lieve extra-rotazione) mediante una scansione anteriore secondo un piano para-sagittale rispetto all'asse lungo del collo del femore. ª
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