Roentgen Changes in Transient Synovitis of the Hip Joint

Observation Hip

“…They were observed in approximately 4 per cent of the 48 cases ( Table 2) and merely signified an increase in intra-articular content or osteoporosis of the proximal third of the femur. This low incidence was also observed by Hermel & Sklaroff (1954) and White (1962). Caravia (1965) studied 46 patients with transient arthritis of the hip and did not find a single X-ray change.…”

“…On physical examination of the hip, limp and limitation of internal rotation were present in all cases of transient arthritis and, in the great majority of patients, the symptoms disappeared during the first week, signifying remission of the hip synovitis. The synovitis of transient arthritis can be attributed to: allergic hypersensitivity of the synovial membrane to a focal point of infection at a distance (Edwards 1962, Hermel & Sklaroff 1954, Tudor 1970, a virus (Hardinge 1970) or local infection. In our series, statistical tests showed a relationship between infection-associated pathology and transient arthritis of the hip; on the other hand, the other types of arthritis (rheumatic fever with mono-arthritis, LeggPerthes' disease, tuberculous synovitis of the hip, psoas inflammation, septic arthritis of the hip and abscess of the proximal end of the thigh) also showed this relationship ( Table 3).…”

“…Radiographic changes were studied according to the criteria of Hermel & Sklaroff (1954), Vidigal (1970) and White (1962), placing special emphasis on the level of pericapsular fatty tissue, increase in the joint space and osteoporosis of the proximal end of the femur. Radiographs of the thorax were taken to detect possible associated pathology.…”

The Irritable Hip Syndrome in Children:A Long-Term Follow-up

“…Of the radiographs taken on admission 18 were found to be abnormal. In 10 there was evidence of swelling or effusion similar to that described by Hermel & Sklaroff (1954). Alteration in the width of the joint space was noted in six patients but in only one (Case 1) was it greater than 2 millimetres.…”

Radiology of Postnatal Skeletal development: The proximal humerus

“…This occurs because the ossifying chondroepiphysis has a water density comparable to surrounding soft tissues, such that the cartilaginous contours of the epiphyses blend into the soft tissues. Drey [3], Hermel and Sklaroff [10], and Herreel and Albert [11] described how these epiphyseal outlines could be visualized in disease states, especially transient synovitis of the hip. Presumably the inflammation caused sufficient change in the relative radiodensities to create a roentgenographic gradient.…”