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莱-卡-佩病

Legg-Calvé-Perthes disease.

作者信息

Kamhi E

出版信息

Postgrad Med. 1976 Oct;60(4):125-30. doi: 10.1080/00325481.1976.11714449.

DOI:10.1080/00325481.1976.11714449
PMID:1019060
Abstract

Legg-Calvé-Perthes disease affects children, mostly boys, in the age range of 3 to 12 years. Severity and duration are quite variable. Catterall's classification of disease according to degree of femoral head involvement is of real prognostic value. Other factors of prognostic importance are loss of motion, metaphyseal cysts, subluxation and extrusion, and involvement of the epiphyseal plate, all of which are associated with poor results. Patients with Catterall group I involvement require no specific treatment as long as motion is normal. For patients under 6 years of age with group II involvement, specific efforts to contain the femoral head do not appear to bb indicated. In all other patients, maximum effort should be made to achieve containment of the femoral head and maintain full range of motion. Surgery has been used for reconstruction and as an alternative method of containment.

摘要

莱格-卡尔维-佩特兹病影响3至12岁的儿童,多数为男孩。严重程度和病程差异很大。卡特拉尔根据股骨头受累程度对疾病进行的分类具有实际的预后价值。其他具有预后重要性的因素包括活动度丧失、干骺端囊肿、半脱位和股骨头脱出,以及骨骺板受累,所有这些都与预后不良相关。卡特拉尔I组受累的患者,只要活动正常,无需特殊治疗。对于6岁以下II组受累的患者,似乎无需采取特殊措施来限制股骨头。在所有其他患者中,应尽最大努力限制股骨头并保持全关节活动度。手术已被用于重建以及作为一种限制股骨头的替代方法。

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1
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2
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