Destin Hill, MD John Whiteside, MD St. Mary’s Family Medicine Residency, St. Mary’s Hospital and Regional Center, Grand Junction, Colo john.whiteside@stmarygj.org
The authors reported no potential conflict of interest relevant to this article.
How the opening case resolved The boy avoided weight-bearing on the affected leg, but had no focal bone tenderness. Moving the hip, but not the knee, reproduced pain. Radiographs were negative for fracture or changes typical of Legg-Calve-Perthes disease. He was afebrile in the office, but the mother described a fever at home. The child appeared ill, but stable. We decided to obtain a blood sample.
Results for CRP, ESR, and white blood cell count were normal. With this information, we reassured the mother that the diagnosis was likely transient synovitis. We advised a weight-appropriate dose of ibuprofen and scheduled a follow-up appointment for 2 days later.
CORRESPONDENCE John Whiteside, MD, St. Mary’s Family Medicine Residency, 1160 Patterson Road, Grand Junction, CO 81506; john.whiteside@stmarygj.org
