Transient synovitis, right hip
ICD-10 M67.351 is a billable code used to indicate a diagnosis of transient synovitis, right hip.
Transient synovitis of the hip is a benign inflammatory condition characterized by the temporary swelling of the synovial membrane in the hip joint. It primarily affects children, particularly those aged 3 to 10 years, and is often associated with a preceding viral infection or trauma. Clinically, patients present with hip pain, limping, and reduced range of motion. The condition is self-limiting, typically resolving within a few weeks, but it can mimic more serious conditions such as septic arthritis or osteomyelitis. Diagnosis is usually made through clinical evaluation and imaging studies, such as ultrasound or MRI, which can reveal joint effusion. Treatment is generally conservative, involving rest, nonsteroidal anti-inflammatory drugs (NSAIDs), and physical therapy. In rare cases, aspiration of the joint may be necessary to relieve symptoms. Understanding transient synovitis is crucial for differentiating it from other hip disorders, particularly in pediatric populations, to avoid unnecessary invasive procedures.
Detailed history of symptoms, physical examination findings, and imaging results.
A child presenting with hip pain after a recent viral illness.
Ensure documentation reflects the transient nature of the condition and any differential diagnoses considered.
Comprehensive assessment of hip function, imaging studies, and treatment plan.
An adolescent with hip pain and limited range of motion, requiring evaluation for possible surgical intervention.
Document any surgical procedures or interventions performed, if applicable.
Used when joint effusion is present and requires drainage.
Document indication for aspiration, amount of fluid removed, and any findings.
Orthopedic specialists may perform this procedure more frequently.
Common symptoms include hip pain, limping, and reduced range of motion, often following a viral infection or minor trauma.
Diagnosis is typically made through clinical evaluation, imaging studies such as ultrasound or MRI, and exclusion of other conditions like septic arthritis.
Treatment usually involves rest, NSAIDs for pain relief, and physical therapy. Most cases resolve spontaneously within weeks.
