Transient/Toxic Synovitis

Orthop Clin North Am. 2024 Oct;55(4):471-477. doi: 10.1016/j.ocl.2024.04.004. Epub 2024 May 14.

Abstract

Transient synovitis (TS) is a self-limiting inflammatory condition of the joints, predominantly affecting children and characterized by symptoms such as pain, swelling, warmth, and erythema. It is often triggered by an immune response to a viral infection, leading to acute inflammatory arthritis. Diagnosis involves a combination of patient history, physical examinations, imaging techniques, and laboratory tests, although there are no specific laboratory tests for TS. Treatment primarily consists of symptom management through rest, analgesics, and nonsteroidal anti-inflammatory drugs. The condition underscores the importance of distinguishing TS from more serious joint diseases to prevent unnecessary interventions and to ensure appropriate management.

Keywords: Acute inflammatory arthritis; Blood tests; Diagnostic algorithms; Medical anti-inflammatory measures; Self-limited; Septic arthritis; Transient synovitis; Ultrasounds.

Publication types

  • Review

MeSH terms

  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Diagnosis, Differential
  • Humans
  • Synovitis* / diagnosis
  • Synovitis* / etiology

Substances

  • Anti-Inflammatory Agents, Non-Steroidal