Inexplicable leg pain in children, beware of hip synovitis

內容目錄

Xingsha Times (Reporter Li Dan, Correspondent Zhang Lu) Recently, the Orthopedics and Traumatology Clinic of Changsha Traditional Chinese Medicine Hospital (Changsha Eighth Hospital) has received several children for consultation. The parents of the children said that the day before He was still jumping up and down, his legs hurt when he woke up, he limped when he walked, and some couldn’t even get out of bed to walk. After the doctor gave him a systematic examination, he was diagnosed with hip joint synovitis.

The reporter learned that pediatric hip joint synovitis, also known as acute hip joint temporary synovitis, is caused by infection of a certain toxin or other substance to stimulate the synovial membrane in the joint capsule. inflammation. The peak incidence is 3 to 6 years old, and it is more common in boys.

For the treatment of temporary synovitis of the hip in children, bed rest is generally adopted and exercise is avoided. Hip synovitis should be bedridden without weight bearing until the hip pain disappears and the range of motion returns to normal (usually 3 to 7 days), preferably after a period of rest (7 to 10 days) after symptoms disappear. For children with obvious symptoms and severe limitation of activities, lower limb skin traction can be performed. Other methods include local physiotherapy, external application of Sanhuang ointment developed by Changsha Traditional Chinese Medicine Hospital (Changsha Eighth Hospital) and other traditional Chinese medicines for promoting blood circulation and removing blood stasis.

According to reports, the vast majority of children with hip synovitis have a good prognosis and no sequelae. A small number of children may experience aseptic necrosis of the femoral head if they are not treated in time, resulting in serious sequelae. . Therefore, early detection, early treatment, and attention to review and follow-up are crucial.

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