Knee pain in children as a symptom of hip disease: a case study

Introduction  Knee pain in the pediatric population is a very common health issue in family doctor practice and its cause is not always obvious and easy to determine. It is important to remember that knee pain can also occur as a projection of the obturator nerve conducting signals from the hip...

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Main Authors: Katarzyna Toś, Aleksandra Winiarz, Paula Szlendak, Wojciech Wokurka, Michał Turek, Kacper Wojtala, Sylwia Grosman, Agata Węgrzyniak, Dominik Drobek, Katarzyna Wąsala
Format: Article
Language:English
Published: Kazimierz Wielki University 2023-05-01
Series:Journal of Education, Health and Sport
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Online Access:https://apcz.umk.pl/JEHS/article/view/43608
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author Katarzyna Toś
Aleksandra Winiarz
Paula Szlendak
Wojciech Wokurka
Michał Turek
Kacper Wojtala
Sylwia Grosman
Agata Węgrzyniak
Dominik Drobek
Katarzyna Wąsala
author_facet Katarzyna Toś
Aleksandra Winiarz
Paula Szlendak
Wojciech Wokurka
Michał Turek
Kacper Wojtala
Sylwia Grosman
Agata Węgrzyniak
Dominik Drobek
Katarzyna Wąsala
author_sort Katarzyna Toś
collection DOAJ
description Introduction  Knee pain in the pediatric population is a very common health issue in family doctor practice and its cause is not always obvious and easy to determine. It is important to remember that knee pain can also occur as a projection of the obturator nerve conducting signals from the hip joint. During physical examination the hip joint should be also carefully examined. Diagnostic imaging such as radiographs are helpful in evaluating bone parts, whereas ultrasonography and MRI can reveal pathology in periarticular soft tissue. Laboratory tests can help to rule out a septic process and reveal other associated conditions.  The aim  The aim of this work was to analyze the patient’s case of transient synovitis of the hip manifested by knee pain and discuss other hip joint causes of knee pain in the pediatric population. Case report An individual case report of the five-year-old male patient suffered from non-traumatic knee pain and inability to walk with analysis of undertaken diagnostic and treatment management. Results The patient was correctly diagnosed with transient synovitis of the hip joint and successfully treated due to a thorough physical examination and right diagnostic tests carried out by the emergency physician. Conclusions In every case of non-traumatic knee pain, hip pathology should be always ruled out. Carefully performed physical examination, basic laboratory tests and imagining allow practitioners to make the right diagnosis.
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spelling doaj.art-f73c59d59361424b97e395d51a4a013c2023-05-13T10:45:58ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062023-05-0129110.12775/JEHS.2023.29.01.003Knee pain in children as a symptom of hip disease: a case studyKatarzyna Toś0Aleksandra Winiarz1Paula Szlendak2Wojciech Wokurka3Michał Turek4Kacper Wojtala5Sylwia Grosman6Agata Węgrzyniak7Dominik Drobek8Katarzyna Wąsala9SPZOZ LubaczówIndependent Public Clinical Hospital No. 1 in Lublin, Poland Independent Public Clinical Hospital No. 4 in Lublin, Poland"1. Afiliacja: Department of Anatomy, Medical University of Lublin, 20-059 Lublin, Poland 2. Afiliacja: Independent Health Care Center of the Ministry of Interior and Administration, Grenadierów Street 3, 20-331 Lublin"Independent Public Clinical Hospital No. 4 in Lublin, PolandIndependent Public Clinical Hospital No. 1 in Lublin, Poland Clinical Hospital of Poznan University of Medical Sciences, 1/2 Długa St., 61-848 PoznańCentral Clinical Hospital of the Ministry of Interior and Administration in Warsaw, Wołoska 137, 02-507 WarszawaMedical University of Lublin, Biomedical Sciences Department, Lublin, PolandClinical Hospital of Poznan University of Medical Sciences, 1/2 Długa St., 61-848 Poznań Introduction  Knee pain in the pediatric population is a very common health issue in family doctor practice and its cause is not always obvious and easy to determine. It is important to remember that knee pain can also occur as a projection of the obturator nerve conducting signals from the hip joint. During physical examination the hip joint should be also carefully examined. Diagnostic imaging such as radiographs are helpful in evaluating bone parts, whereas ultrasonography and MRI can reveal pathology in periarticular soft tissue. Laboratory tests can help to rule out a septic process and reveal other associated conditions.  The aim  The aim of this work was to analyze the patient’s case of transient synovitis of the hip manifested by knee pain and discuss other hip joint causes of knee pain in the pediatric population. Case report An individual case report of the five-year-old male patient suffered from non-traumatic knee pain and inability to walk with analysis of undertaken diagnostic and treatment management. Results The patient was correctly diagnosed with transient synovitis of the hip joint and successfully treated due to a thorough physical examination and right diagnostic tests carried out by the emergency physician. Conclusions In every case of non-traumatic knee pain, hip pathology should be always ruled out. Carefully performed physical examination, basic laboratory tests and imagining allow practitioners to make the right diagnosis. https://apcz.umk.pl/JEHS/article/view/43608knee pain in childrentransient synovitisseptic arthritisLegg-Calve-Perthes DiseaseSlipped Capital Femoral Epiphysis
spellingShingle Katarzyna Toś
Aleksandra Winiarz
Paula Szlendak
Wojciech Wokurka
Michał Turek
Kacper Wojtala
Sylwia Grosman
Agata Węgrzyniak
Dominik Drobek
Katarzyna Wąsala
Knee pain in children as a symptom of hip disease: a case study
Journal of Education, Health and Sport
knee pain in children
transient synovitis
septic arthritis
Legg-Calve-Perthes Disease
Slipped Capital Femoral Epiphysis
title Knee pain in children as a symptom of hip disease: a case study
title_full Knee pain in children as a symptom of hip disease: a case study
title_fullStr Knee pain in children as a symptom of hip disease: a case study
title_full_unstemmed Knee pain in children as a symptom of hip disease: a case study
title_short Knee pain in children as a symptom of hip disease: a case study
title_sort knee pain in children as a symptom of hip disease a case study
topic knee pain in children
transient synovitis
septic arthritis
Legg-Calve-Perthes Disease
Slipped Capital Femoral Epiphysis
url https://apcz.umk.pl/JEHS/article/view/43608
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