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Clinical Pediatrics
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Legg-Calve-Perthes Disease Following Transient Synovitis

How Often?

Masza Mukamel

Departments of Pediatrics B, Orthopedics, and Radiology, Beilinson Medical Center, Israel

Menahem Litmanovitch

Departments of Pediatrics B, Orthopedics, and Radiology, Beilinson Medical Center, Israel

Zvi Yosipovich

Departments of Pediatrics B, Orthopedics, and Radiology, Beilinson Medical Center, Israel

Michael Grunebaum

Departments of Pediatrics B, Orthopedics, and Radiology, Beilinson Medical Center, Israel

Izhak Varsano

Departments of Pediatrics B, Orthopedics, and Radiology, Beilinson Medical Center, Israel

Forty-one children with transient synovitis of the hip and 10 children with Legg-Calve-Perthes disease were followed. All 41 cases of transient synovitis had a benign outcome. In this series, nine of the 10 children with Legg-Calve-Perthes disease were diagnosed upon their first roentgeno graphic examination. One child whose first diagnosis was transient synovitis remained symptomatic for 4 months, when he developed roentgenologic changes consistent with Perthes disease.

The literature is reviewed and 455 cases of transient synovitis analyzed. Only one patient with transient synovitis developed Legg-Calve-Perthes disease after having been asymptomatic for a period of 3 months. In 17 other cases, symptoms persisted until Legg-Calve-Perthes was diagnosed. It is suggested that transient synovitis is a benign disease and that only children with protracted symptoms are at risk to develop Perthes disease.

Clinical Pediatrics, Vol. 24, No. 11, 629-631 (1985)
DOI: 10.1177/000992288502401105
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