More than 10 days ago, 8-year-old Qiangqiang caught a cold. After taking medicine for a week, he recovered from the cold. But when he went to school, his leg hurt so much that he couldn't walk. Upon inspection in the hospital, the doctor diagnosed "hip synovitis". Qiang Qiang's parents wondered, how could they get synovitis?
It turned out that he had suffered from acute upper respiratory tract infection some time ago. Although the cold symptoms were better after taking medicine, the infectious substances entered the blood and stimulated the synovium of bone joints through the blood, causing acute inflammatory diseases such as synovium congestion and exudation, which led to the occurrence of osteoarticular synovitis. The onset of hip synovitis in children is generally considered as a nonspecific inflammation caused by immune reaction or allergy, which is related to viral infection, bacterial infection, trauma and other factors. Children often have a history of upper respiratory tract infection, such as colds, within 1-2 weeks before onset.
Because the early signs of children with hip synovitis and the results of their X-ray examination and related laboratory tests are very similar to those of patients with joint tuberculosis, rheumatoid arthritis and rheumatoid arthritis, it is very easy to be misdiagnosed. If the child is neglected or misdiagnosed after suffering from the disease, the child will still exercise regularly, which may lead to avascular necrosis of the femoral head.
Therefore, early diagnosis and treatment are very important for patients with osteoarticular synovitis. When the child has the following three conditions, it is necessary to consider the possibility of suffering from hip synovitis: ① under 10 years old; ② There is acute or chronic pain in the hip joint area of unknown reason, and the pain is aggravated at night: ③ There is a symptom of claudication or limited knee joint activity.
Children suffering from transient synovitis of the hip joint should stay in bed and use topical anti-inflammatory drugs until the pain of the hip joint disappears and the range of motion returns to normal. It is better to rest for a period of time (7-10 days) after the symptoms disappear. Although children are active and have difficulties in bed, they should try their best to do so. Children with transient synovitis of the hip joint should be re examined 2 and 6 months after the onset of the disease. (Wuhan Central Hospital Tongqing)
Learn about parenting knowledge, watch parenting blogs and forums, and go to the parent-child channel baby.sina.cn
