Synovitis of the Hip

Synovitis offen occurs in sports people in conjunction with another hip joint injury.

Labral tears, arthritis, ligament sprains or chondropathy (affecting the ends of the bones) can all cause or exist with synovitis. It is also seen in children between the age of two and nine years old.

Hip synovitis symptoms

A patient with hip synovitis will experience symptoms which include difficulty walking with pain when moving the hip joint as well as at rest. Night pain is also a common sign of hip synovitis. Sometimes a fever may be present and pain can radiate into the knee joint.

How does synovitis affect children?

Transient synovitis (sometimes called toxic synovitis) of the hip often affects young children, between the ages of two and nine. It is not really understood why this occurs, although is thought to be linked to a virus. It causes pain and inflammation around the hip joint. Symptoms often come on quickly and last for up to a week.

Treatment of hip synovitis

Treatment should be aimed at addressing the original cause or co-existing condition. NSAID or anti inflammatory medication may be prescribed along with physiotherapy to restore normal movement and function.

Any hip pain in children should be examined by a Doctor. Synovitis must be distinguished from a bacterial infection which is far more serious. This can be done using blood tests. X-rays may also be taken to rule out Perthes' disease. Anti-inflammatory medication may be prescribed (such as ibuprofen). Generally the condition is left to run its course, although the child should be closely observed and temperature checks should be made.