Transient synovitis, hip
ICD-10 M67.35 is a billable code used to indicate a diagnosis of transient synovitis, 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 is most commonly seen in children aged 3 to 10 years and often presents with hip pain, limping, and reduced range of motion. The exact etiology is often unclear, but it may follow a viral infection or be associated with trauma. Diagnosis is typically made through clinical evaluation and imaging studies, such as ultrasound or MRI, which can reveal joint effusion. Treatment usually involves rest, nonsteroidal anti-inflammatory drugs (NSAIDs), and sometimes physical therapy. In rare cases, aspiration of the joint may be necessary to relieve symptoms. The condition is self-limiting, with most patients recovering fully within a few weeks. However, it is crucial to differentiate transient synovitis from more serious conditions such as septic arthritis or Perthes disease, which may require more aggressive intervention.
Detailed history of symptoms, physical examination findings, and any imaging studies performed.
A child presenting with hip pain after a recent viral illness.
Ensure to document the age of the patient and any differential diagnoses considered.
Comprehensive assessment of hip function, imaging results, and treatment plan.
An adolescent with hip pain and limited range of motion requiring further evaluation.
Document any surgical interventions or referrals to rule out other conditions.
Used when joint effusion is present and needs to be drained.
Document the indication for aspiration and the amount of fluid removed.
Orthopedic specialists may perform this procedure more frequently.
Most children recover from transient synovitis within 1 to 4 weeks with appropriate rest and treatment.
Transient synovitis typically presents without fever and has a more gradual onset, while septic arthritis often presents with acute pain, fever, and systemic symptoms.
