| The childhood condition "Transient Synovitis" has another name. What is it? | Toxic Synovitis |
| What is Transient Synovitis? | A childhood condition, characterized by sudden onset of pain,
limp, and mild restriction of hip motion, especially abduction and internal
rotation.
Oversimplified: a childhood condition, inflammation of the hip joint. |
| While the exact cause of Transient Synovitis is unknown, what is one of the 3 possible causes discussed in the lecture? | 1. Active or recent viral infection (esp respiratory). 70% of the time true.
2. Hypersensitivity, post-vaccination
3. Relationship with Legg-Calve-Perthes: some children with TS may develop LCP. |
| What is the main and most obvious symptom of transient synovitis? | A limp (caused by hip pain). |
| What's the best treatment for transient synovitis? | Bed rest and limiting activities |
| What is Legg-Calvé-Perthes Disease (LCPD)? | It is an idiopathic necrosis where the capital femoral epiphysis (femoral head) has an interruption of blood supply, causing a collapse/flattening of the femoral head. |
| What is the cause of Legg-Calvé-Perthes Disease (LCPD)? | It is idiopathic (unknown). |
| Are the after effects of Legg-Calvé-Perthes Disease (LCPD) permanent? | Yes and no.
No - Revascularization and new bone formation = healed.
Other times:
Yes - Deformities in the femoral head and epiphyseal plate.
Yes - Bone infarction and necrosis which may invade cartilage, subchondral bone and growth plate
Yes - The child has disproportionate growth with mild short stature. |
| Both Legg-Calvé-Perthes Disease and Transient Synovitis have the classic symptom of a limp, and pain during abduction and internal rotation of the hip... but what's the main difference between the two? | Legg-Calvé-Perthes Disease effects the bone and Transient Synovitis affects the joint. |
| What disease MIGHT the lasting effects of Legg-Calvé-Perthes Disease cause in the patient's future? | Osteoartheritis (Degenerative Joint Disease) |
| One is what basic treatment goal you should have when treating a patient with Legg-Calvé-Perthes Disease, that an osteopath can help with? | Restoration and maintenance of a good range of motion.
Prevention of CFE collapse, excursion and subluxation (strengthening via gentile techniques, w/o weight bearing).
(Gentile traction techniques can help) |
| What heals Legg-Calvé-Perthes Disease (What causes the restricted blood supply to end, typically)? | Trick question. It heals on its own. |
