{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T21:18:02Z","timestamp":1783545482745,"version":"3.55.0"},"reference-count":0,"publisher":"SMW Supporting Association","issue":"3334","license":[{"start":{"date-parts":[[2015,8,9]],"date-time":"2015-08-09T00:00:00Z","timestamp":1439078400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Swiss Med Wkly"],"abstract":"<jats:p>QUESTIONS UNDER STUDY\/PRINCIPLES: To assess the usefulness of several laboratory  and radiological investigations for the limping child with suspected transient  synovitis of the hip.\n        METHODS: The medical records of children admitted at our children\u2019s  hospital for nontraumatic hip pain between 1999 and 2007 were retrospectively reviewed.  During the study period, all children without a definite diagnosis after  routine investigations in the emergency department were admitted and a specific  work-up including antinuclear antibodies titre, rheumatoid factor,  antistreptolysin O titre, Lyme disease serology and hip ultrasonography were  obtained. Children were systematically re-evaluated 6 weeks after hospital  discharge, with a clinical examination and radiological hip views. Patients  were diagnosed with transient synovitis of the hip if an ultrasound-confirmed  hip effusion was present at time of admission, complete resolution of symptoms  occurred without any specific treatment, and no other pathology of the hip was  identified during follow-up.\n        RESULTS: A total of 417 cases without definite diagnosis were admitted  and were submitted to a specific work-up. Transient synovitis of the hip was  subsequently diagnosed in 383 patients, septic arthritis in 1 patient, and Lyme  arthritis in 1 patient. Thirty-two patients remained without diagnosis. No  rheumatological condition was found.\n        CONCLUSION: Our results suggest that most investigations performed  during the initial work-up in patients suspected transient synovitis of the hip  are unnecessary and should routinely include only white blood cell count, C-reactive  protein, erythrocyte sedimentation rate, and hip radiography and  ultrasonography. No further investigations are necessary during follow-up for transient  synovitis of the hip in asymptomatic children.<\/jats:p>","DOI":"10.4414\/smw.2015.14176","type":"journal-article","created":{"date-parts":[[2016,1,29]],"date-time":"2016-01-29T10:03:57Z","timestamp":1454061837000},"page":"w14176","source":"Crossref","is-referenced-by-count":12,"title":["Transient synovitis of the hip: which investigations are truly useful?"],"prefix":"10.57187","volume":"145","author":[{"given":"Victor","family":"Dubois-Ferri\u00e8re","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilson","family":"Belaieff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Lascombes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geraldo","family":"De Coulon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitri","family":"Ceroni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"36756","published-online":{"date-parts":[[2015,8,9]]},"container-title":["Swiss Medical Weekly"],"original-title":[],"link":[{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/2068\/3014","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/2068\/3015","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/2068\/3014","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T06:34:46Z","timestamp":1755239686000},"score":1,"resource":{"primary":{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/view\/2068"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,8,9]]},"references-count":0,"journal-issue":{"issue":"3334","published-online":{"date-parts":[[2015,8,10]]}},"URL":"https:\/\/doi.org\/10.4414\/smw.2015.14176","relation":{},"ISSN":["1424-3997"],"issn-type":[{"value":"1424-3997","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,8,9]]}}}