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Effect of Herbal Medicine on Transient Synovitis of Hip in Children: A Systemic Review and Meta-analysis

소아 일과성 고관절 활액막염에 대한 한약의 효과: 체계적 문헌 고찰 및 메타분석

  • Hong Ye Na (Department of Pediatrics, College of Korean Medicine, Dongeui University) ;
  • Lee Young Hun (Department of Rehabilitation, College of Korean Medicine, Dongeui University) ;
  • Yu Sun Ae (Department of Pediatrics, College of Korean Medicine, Dongeui University)
  • 홍예나 (동의대학교 한의과대학 한방소아과학교실) ;
  • 이영훈 (동의대학교 한의과대학 한방재활의학과교실) ;
  • 유선애 (동의대학교 한의과대학 한방소아과학교실)
  • Received : 2023.10.31
  • Accepted : 2023.11.24
  • Published : 2023.11.30

Abstract

Objective This study aimed to evaluate the effect of herbal medicines on transient hip synovitis (TSH) in children. Methods We searched 10 Korean, English, Japanese, and Chinese databases for studies published up to September 19, 2023. Randomized controlled trials (RCTs) evaluating the effect of herbal medicines on TSH levels in children were included. The Cochrane risk of bias was used to evaluate the quality of the studies. A meta-analysis was conducted according to outcome measurements, such as total effective rate (TER), visual analog score (VAS), time to pain relief, and hip joint mobility disorder disappearance time, using the Review Manager website. Results Eleven RCTs were included in this study. TER in the treatment group was significantly higher than in the control group. The duration of pain relief was significantly shorter in the treatment group than in the control group. The VAS score of the treatment group was significantly lower than that of the control group, although the statistical heterogeneity was substantial. The hip joint mobility disorder disappeared in the treatment group treated with external therapy, which was significantly shorter than in the control group. Regarding safety, two of the 11 studies reported that there were no adverse events. Conclusions Herbal medicines are effective in the treatment of TSH in children. However, the safety of herbal medicines should be carefully considered due to the lack of data.

Keywords

References

  1. Lee SB. Smart Pediatrics clinical manual. 3rd ed. Seoul: Barun Medical Laboratory Publishing Co. 2021;1005-7. 
  2. National Korean medicine university of Pediatrics. Pediatrics of Korean medicine. 3rd ed. Seoul: Ui Sung Dang Publishing Co. 2020:777-8. 
  3. Edwards EG. Transient synovitis of the hip joint in children; report of thirteen cases. J Am Med Assoc. 1951;145(1):30-4.  https://doi.org/10.1001/jama.1951.72920190001009
  4. State administration of traditional Chinese medicine. Standards for diagnosis and treatment of TCM diseases [S]. Nanjing: Nanjing University Publishing Co. 1994;198-9. 
  5. Xia JQ, Quan J. Clinical observation on Huamo ointment for the treatment of hip joint synovitis in 64 Children. Chinese J Trad Med Traum & Ortho. 2009;17(9):34-5. 
  6. National Evidence-based Healthcare Collaborating Agency References. NECA's guidance for undertaking systematic reviews and meta-analyses for intervention. 1st ed. Seoul: National Evidence-based Healthcare Collaborating Agency. 2011;1-287. 
  7. Lee JY. Meta-analysis. Endocrinol Metab. 2008;23(6):361-78.  https://doi.org/10.3803/jkes.2008.23.6.361
  8. Ma H, Guo YM. Clinical observation on HuaMoYan capsule in treating 50 cases with transient synovitis of hip in children. Gansu J TCM. 2010;23(12):40-2. 
  9. Duan XB, Gao ST, Liu YW, Guo KK. Tongjinghuoli decoction combined with skin traction in the treatment of 53 cases of hip synovitis in children. Chin J Ethnomed Ethnopharm. 2014;23(4):65. 
  10. Bao WD, Sun YQ, Yan L, Zhou SL, Zhang ZY. Clinical observation on the treatment of children hip joint synovitis by skin traction combined with external application of Zhihuang Zhitong San. Rheum Arthritis. 2016;5(1):17-9. 
  11. Wang KZ, Yang JS, Zheng XM, Wan M. Observation on the efficacy of Huoxuelishui recipe combined with skin traction in treating hip synovitis in children. Global TCM. 2017;10(6):756-8. 
  12. Wei PL, Su CX. Observation on the efficacy of Pingle synovitis ointment in treating hip synovitis in children. World Latest Med Inf. 2018;18(42):149,204. 
  13. Zhao CC, Li L, Zhong RL. Application of fumigation and washing with Huoxue Zhitong Powder to treat transient synovitis of hip joint in children. World Latest Med Inf. 2019;19(42):166. 
  14. Deng P, Zan Q, Ji H. Clinical study on the treatment of transient synovitis of hip joint in children with external application of Xiaozhonghuayu ointment. Modern TCM. 2020;40(4):91-4. 
  15. Han F, Dong YP, Dong Y, Liang BC, Fan WX, Li J, Chen L, Liu J. 60 cases of fumigation with Niubangzi Tang combined with skin traction for transient synovitis of the hip in children. J New Chin Med. 2020;52(24):87-90. 
  16. Tian YR, Zhang F, Wang K, Zhen L, Zhao XD, Hao JZ. Efficacy and safety of synovitis granule in the treatment of transient synovitis of hip joint in children. Chin J Pharm Econ. 2021;16(10):58-65. 
  17. Xiong RP, Wei YC, Huang LJ, Deng WJ, Chen J. Clinical study on Wuzisan packet therapy combined with skin traction in the treatment of hip synovitis in children. J Pract TCM. 2021;37(10):1774-5. 
  18. Zhuang ZQ, Hong JZ, Lin WD, Shen HH, Huang QS, Lyu CW, Chen YK, Chen WY. Effect of Zhang-style modified blood activation and tendon relaxation decoction in the treatment of acute transient synovitis of the hip in children. Chin Foreign Med Res. 2021;19(31):122-5. 
  19. Dong Ying, Li M, Wan ZM. Clinical stages and treatment of acute transient synovitis of hip joint in children. West Chin Med J. 2010;25(3):547-9. 
  20. Department of Pediatrics, Yonsei University College of Medicine. Severance manual of pediatrics. 4th ed. Seoul: Yonsei University College Publishing Center. 2013:760. 
  21. Haueisen DC, Weiner DS, Weiner SD. The characterization of "transient synovitis of the hip" in children. J Pediatr Orthop. 1986;6(1):11-7.  https://doi.org/10.1097/01241398-198601000-00003
  22. Harrison WD, Vooght AK, Singhal R, Bruce CE, Perry DC. The epidemiology of transient synovitis in Liverpool, UK. J Child Orthop. 2014;8(1):23-8.  https://doi.org/10.1007/s11832-014-0556-5
  23. Irfan A, Starr RJ, Foster S, Smith ID, Huntley JS. "Irritable Hip": Diagnosis in the emergency department. A descriptive study over one year. Cureus. 2018;10(10):e3481. 
  24. Adam M, Ibrahim B, Khidir R, Elmahdi E, Ahmed S, Ahmed A. Usefulness of MRI findings in differentiating between septic arthritis and transient synovitis of hip joint in children: A systematic review and meta-analysis. Eur J Radiol Open. 2022;26(9):100439. 
  25. National Korean Medicine University of Classical Studies. Categorian hwangjenaegyeong. 3rd ed. Dajeon: Jumin Publishing Co. 2009;567-76.