Hip pain in children
Damsin, J.P.
La Revue du Praticien 41(6): 528-534
1991
ISSN/ISBN: 0035-2640 PMID: 2020816 Document Number: 386883
When lameness is discovered in a child minutious investigations must be started in search of its cause. The first step in these investigations is to determine the exact location of the pain and to exclude all causes of lameness unrelated to the hip. In difficult cases, radioisotope scanning locates the pathological area. These points being acquired, the second step is to find whether the lesion is infectious, dystrophic, inflammatory, tumoral or traumatic. Usually, the investigations rapidly give a clue: transient discomfort, negative radiological results and clinical normalization indicate "growth pain". Transient acute synovitis is the most frequent of true lesions of the hip, followed by infectious arthritis and primary osteochondritis.