Recognition of transient monoarticular hip synovitis in adults can prevent unnecessary arthrotomy for suspected septic arthritis.
May aid differentiation from septic arthritis to reduce unnecessary surgery in adults; leaves open confirmation of ESR and aspiration utility in prospective studies.
Clinical, laboratory, and radiological investigation of 6 cases of idiopathic monoarticular adult hip synovitis demonstrates that unlike the syndrome in children, in the adult the onset is very acute, short in duration, and followed by a short tapering off period with no sequelae to date. The ESR is the best index of the severity and course of the illness. Hip aspiration is of diagnostic value. Viral etiology was suspected, but not proven. Recognition of this syndrome in the adult will prevent an unnecessary arthrotomy for "septic arthritis" of the hip joint.
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Dzioba et al. (1977) studied this question.
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