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Synovitis(Arthoscopy)

Synovitis of the hip or Transient Synovitis of the hip is a medical condition where there is inflammation in the inner lining or the synovium of the hip joint. It is also called by its layman’s term of Irritable Hip.

Transient Synovitis usually lasts for 7-10 days and clears up on its own, thus the name transient, which means temporary. But it might last for a longer time in some cases. The patient usually suffers from pain in the hip, thigh, groin or knee of the affected area. Some patients might have a slight limp.

Transient Synovitis is normally found affecting children between the ages of 3 to 10 years. It might cause sudden hip pain and a limp in young children.

Treatment

Non – Surgical Treatment

The doctors would recommend the following non-surgical treatment:

  • Rest: taking proper rest is the first step towards recovery. The patient is recommended to stay away from sports or strenuous activity.
  • Changes in Activity: change in the daily routine and avoiding activities that can aggravate the symptoms.
  • Non-Steroidal Anti-Inflammatory Medications: like ibuprofen et al are prescribed to help in reducing pain and inflammation.
  • Physical Therapy: is recommended for the improvement of range of motion of the hip and also for strengthening the muscles around the joint, which in turn will help relieve the stress on the injured cartilage.

Surgical Treatment

Surgery is recommended by the doctor when the non-surgical treatment does not help reducing the symptoms. The doctors might opt for Irrigation & Debridement of the hip using the Hip Arthroscopy technique.

Hip Arthroscopy

This is a minimal invasive surgical procedure performed to diagnose and treat problems in the hip joint.

Basically, the doctor will make a very small incision and insert the Arthroscope, a tiny camera, into your hip enabling them to view the inside of the joint on the screen. The surgeons will then investigate the issue with the hip and correct it, if necessary, using small instruments within the arthroscope.The doctors will first brush and wash all the surfaces with an antiseptic solution, and then will perform irrigation using bulb irrigation and finally the debridement.

Authored by Dr Banarji B.H - Shoulder Surgeon, Bangalore

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