Epidemiology of perthes' disease in bahrain: no relationship to transient synovitis

A review of 91 patients with a discharge diagnosis of transient synovitis of the hip [TSH] from 1987 till 1995, none developed clinically overt perthes disease. No total hip arthroplasty has been performed to date for osteoarthritis secondary to perthes' disease. These facts lend support to the changing precept that there exists little relationship between perthes' disease and TSH. Hence, we see no reason for aspiration of the irritable hip exclusion of septic artritis. Radiographic follow-up of patients presenting with a single episode of transient synovitis of the hip is also unnecessary