a) Dec 30 2011 -> My son (age 8 yrs) was playing in the house. He complained of severe pain on his left hip. There was neither injury nor fall. X-Ray impression was 'Joint Hip Effusion'. Adviced Bed rest by a Orthopedician. Treatment with anti-inflamatory medicine.
b) Jan 2 2012 -> Ortho Doctor Review MRI impression - 'mild bilateral hip joint effusion'. Continue Bed Rest.
c) Jan 5 2012 -> Ortho Doctor Review. Advised blood test
d) Jan 9 2012 -> Blood Test Results (outside ranges ) - ASO Factor - 784 ; 'Anti Nuclear Antibody by Immuno fluorence' - NEGATIVE
e) Jan 10 2012 -> X-Ray of 'Pelvis of Both Hip' - Impression normal
f) Jan 11 2012 -> Skin Traction started with 500 gms on each leg
g) Jan 17 2012 -> Skin Traction increased to 1000 gms on each leg. Rept of blood tests. Adviced for rhetumatologist opinion
g) Jan 21st 2012 - HLAB27 test negative. Continue Anti-Inflamatory medicine
h) Jan 22nd 2012 - rheumatologist diagnosed it as 'possible Spondylarthritis' and treated with some medication.
Child did not complain abt hip pain from around 20th Jan 2012. i) 2nd Feb 2012 -> As the child was not able to stand or walk properly. We referred to another sr Pediatric Orthopedician. He observed the child has 'HIP ABDUCTION'. He put him on skin traction with 4 kgs. He assembled a team of doctors including rheumatologist and ruled it was not a arthritis. He also stopped all medication so that if there are any further variations it could be investigated.
j) Child is on traction (for 4 kgs) for about 14 days from 2nd Feb 2012. ..No medication from 2nd Feb . Child has not reported any abnormal symptoms including fever, etc
j) 16th Feb 2012 : Pediatric Orthopedician reviewed the child. He said there is some improvement. He adviced to continue traction for another week, though the child has responded to traction, it is not to a very great extent. He observed frankly he does not know the cause of the problem & no specific treatment/medication (other than traction) is followed. He also honestly told how can I put him on treatment/medication when we dont what is the root cause. He hinted that he might do another MRI review next week and follow up with biopsy.
Could you pl help us here in diagnizing what could be the problem? Based on your experience, what could be the root cause here? We have given effective traction for only 2 weeks.