Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Tibial torus and toddler’s fractures misdiagnosed as transient synovitis: a case series. | Seyahi et al. Journal of Medical Case Reports 2011 5 305 http content 5 1 305 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Tibial torus and toddler s fractures misdiagnosed as transient synovitis a case series Aksel Seyahi1 Serkan Uludag1 Burak Altinta 1 and Mehmet Demirhan2 Abstract Introduction The high incidence of transient synovitis in early childhood makes it the first suspected pathology in a limping child. Trauma which has long been regarded as a causative factor for transient synovitis may be underestimated in a non-cooperative toddler. After excluding most serious conditions such as septic arthritis a speculative diagnosis of transient synovitis can be made and this can easily mask a subtle musculoskeletal injury. Case presentations We report the cases of three Caucasian patients two boys aged 20-months- and three-years-old and one girl aged two-years-old with tibial torus and toddler s fractures which were late-diagnosed due to an initial misdiagnosis of transient synovitis of the hip. Conclusion In a non-cooperative child musculoskeletal trauma can be mistaken as a simple causative factor for transient synovitis of the hip and this can easily prevent further investigation for a possible subtle musculoskeletal injury of the lower extremities. Our experience with the presented cases suggests the need to be more vigilant in the differential diagnosis of transient synovitis in young children. Introduction Toddler s fracture is a subtle non-displaced fracture of the tibia in children aged between nine-months-old to three-years-old. The child presents with an acute onset of limp or refusal to bear weight on the leg. Toddlers may be unable to localize pain or give a history. They are also usually uncooperative during the physical exam. Clinical signs of a toddler s fracture can be subtle with non-specific physical findings of local injury. Transient synovitis TS of the hip is one of the most common causes of hip pain and
