Irritable Hip and Perthesʼ Disease

Erken, Einhard H. W.; Katz, Kalman

doi:10.1097/01241398-199005000-00005

Cited by 25 publications

(7 citation statements)

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“…The incidence of the development of Perthes' disease after 'irritable hip'/transient synovitis varies between 0% and 20% in different studies. 3,6,7,15,20,23,24 In our study it was 2%.…”

Section: 22supporting

confidence: 43%

The limping child: epidemiology, assessment and outcome

Fischer¹,

Beattie²

1999

The Journal of Bone and Joint Surgery

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We investigated the epidemiology, assessment and outcome of acute atraumatic limp in 243 children under the age of 14 years presenting to a paediatric accident and emergency department (AED) over a period of six months. Data were collected at presentation and medical notes were re-examined after 18 to 21 months. The incidence of limp was 1.8 per thousand. The male:female ratio was 1.7:1 and the median age 4.35 years. Limp was mainly right-sided (54%) and painful (80%); 33.7% of the children had localised pain in the hip. A preceding illness was found in 40%. The main diagnosis was 'irritable hip'/transient synovitis (39.5%); Perthes' disease accounted for 2%. Most patients (77%) were managed entirely in the AED. Acute atraumatic limp is a common problem in children presenting to the AED. Most can be safely managed there if guidelines are followed and will have a benign outcome. Further studies are needed to identify the role of preceding illness in the aetiology of acute atraumatic limp.

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“…The incidence of the development of Perthes' disease after 'irritable hip'/transient synovitis varies between 0% and 20% in different studies. 3,6,7,15,20,23,24 In our study it was 2%.…”

Section: 22supporting

confidence: 43%

The limping child: epidemiology, assessment and outcome

Fischer¹,

Beattie²

1999

The Journal of Bone and Joint Surgery

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“…-5 It was first described by Lovett and Morse in 1892 and subsequent work has further characterised the disorder. [1][2][3][4][5][6][7][8][9][10] Despite the efforts of several groups working prospectively, its aetiology remains obscure and no investigation has proved diagnostic.5 [11][12][13][14][15] It is apparent from published work that it is a self limiting disorder of variable severity, and there is little evidence that it results in any long term adverse effects. In the only three long term studies published, a slightly higher likelihood of coxa magna (radiological enlargement of the femoral head) was shown, though the number of cases was small and the significance uncertain.7 8 16 It is agreed that whatever its pathology, the danger when treating irritable hip is that of confusing it with a more serious disorder such as septic arthritis, Perthes' disease, late presenting congenital hip dysplasia, or slipped femoral epiphysis, thus delaying appropriate and timely treatment.…”

mentioning

confidence: 99%

Management of irritable hip: a review of hospital admission policy.

Taylor¹,

Clarke²

1994

Archives of Disease in Childhood

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“…Landin et al (1987) reported development of Perthes' disease in 4 percent of patients with transient synovitis. Erken and Katz (1990) and Kallio et al (1986) could not establish an etiological relation between Perthes' disease and transient synovitis and therefore considered them as unrelated clinical entities. Royle and Galasko (1992) recently demonstrated scintigraphically an ischemia of the femoral head in 15 out of 92 cases of transient synovitis.…”

Section: Discussionmentioning

confidence: 99%