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Journal of Bone and Joint Surgery - British Volume, Vol 68-B, Issue 5, 808-811
Copyright © 1986 by British Editorial Society of Bone and Joint Surgery

Articles

Transient synovitis and Perthes' disease. Is there an aetiological connection?

P Kallio, S Ryoppy, and I Kunnamo

A prospective study was made of 119 children with transient synovitis or any other cause for synovial effusion and elevated intra-articular pressure. During a follow-up of one year not one case of Perthes' disease was diagnosed and the late clinical and radiographic changes were minimal with moderate overgrowth of the femoral head in 33% and widening of the joint space in 14.2%. Our results do not support the widely accepted concept that Perthes' disease develops as a result of the period of elevated intra-articular pressure found in transient synovitis. Further research into this and Perthes' disease should follow the premise that they are two different diseases without any aetiological connection.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General