Van den Bogaert G, de Rosa E, Moens P, Fabry G, Dimeglio A
Department of Orthopedic Surgery, U.Z. Pellenberg, Belgium.
J Pediatr Orthop B. 1999 Jul;8(3):165-8. doi: 10.1097/01202412-199907000-00004.
Twenty-five patients or 50 hips with bilateral Legg-Calvé-Perthes disease were reviewed at skeletal maturity in the orthopaedic departments of Leuven, Belgium, and Montpellier, France. The two groups were very similar as to age at onset of the disease, severity of involvement, and classification at skeletal maturity. The results seem to indicate that bilateral disease runs a more severe course as compared with unilateral Legg-Calvé-Perthes disease. Eighty percent presented with a Catterall group III and IV and Herring classification B and C. Forty-eight percent rated as Stulberg 4 and 5 at skeletal maturity.
比利时鲁汶和法国蒙彼利埃的骨科部门对25例患有双侧莱-卡-佩病(Legg-Calvé-Perthes disease)的患者或50个髋关节进行了骨骼成熟时的回顾性研究。两组在疾病发病年龄、受累严重程度以及骨骼成熟时的分类方面非常相似。结果似乎表明,与单侧莱-卡-佩病相比,双侧疾病的病程更为严重。80%的患者表现为卡特拉尔(Catterall)Ⅲ级和Ⅳ级以及赫林(Herring)分类B级和C级。48%的患者在骨骼成熟时被评为斯图尔伯格(Stulberg)4级和5级。