What is the recommended treatment for transient synovitis of the hip?

• A. Antibiotics
• B. Bed rest only
• C. Rest and NSAIDs
• D. Surgical drainage

Answer: (C)

Transient synovitis of the hip in children is a self-limited inflammatory condition. The main goal of treatment is symptom control, not eradication of infection, because this condition is aseptic. Providing rest for the affected hip and anti-inflammatory relief with NSAIDs reduces pain and inflammation, allowing the child to recover without unnecessary interventions. This approach is appropriate because the hip inflammation generally resolves on its own over a short period.

If signs suggesting infection appear—such as fever, severe systemic symptoms, markedly elevated inflammatory markers, or inability to bear weight—then septic arthritis must be considered promptly, which requires urgent joint evaluation, possible drainage, and IV antibiotics.