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No, the term "cold" does not mean that your child has taken a cold snap! He suffers from transient inflammation of the hip joint.
This morning, your toddler snuggles up in bed. You try to put him on his feet. He flanks, then drags his leg. See you at the pediatrician. The diagnosis has a funny name: hip cold.
Hip fever: different manifestations
- Hip cold manifests as lameness of varying intensity, associated with pain, more or less strong too. It can range from simple discomfort to walking, to the refusal to set foot on the ground. It all depends on how your little one feels.
- Generally speaking, a child of this age has great difficulty in locating the discomfort he is experiencing. If you ask him where he hurts, you will rarely hear him complain about the hip, but more often about the knee or the thigh.
- Radiography of the hips often reveals nothing abnormal. Only ultrasound can provide a reliable diagnosis, by detecting the significant presence of synovial fluid at the level of the joint, which normally contains only a very small amount. This is called the effusion of synovia. This presence of liquid causes local swelling and functional discomfort.
- Apart from a difficulty of mobility, the hip cold is not accompanied by any other symptom: the little boy or the girl presents a good general state.
An unknown origin
- Inflammation of the joint, this affection has no definite cause. It often occurs in response to a viral, respiratory (rhino-pharyngitis) or digestive (gastroenteritis) infection, contracted by the child two to three weeks previously.
- Hip cold is not related to trauma. The falls of your child, frequent at this age, can in no case be held responsible.
- This condition usually occurs between 2 and 9 years, preferably in little boys without knowing why. It touches indifferently the right or left side.