Pellisé F, Aguirre M, Enriquez G, Asensio M, González Ferré J
Servicio de Cirugía Ortopédica y Traumatología, Ciudad Sanitaria Vall d'Hebrón de Barcelona.
Cir Pediatr. 1992 Oct;5(4):222-5.
Pyogenic arthritis of the hip in neonates remains a serious problem. The sequelae of delay in diagnosis and treatment can be crippling. Five hips, in four neonates, with a presumed diagnosis of septic arthritis were examined with ultrasonography. In two hips ultrasonography found intracapsular effusion. In the remaining three hips there were no pathological findings. In the two hips with joint effusion an arthrotomy was performed, dislodging pus in both cases. Follow-up radiographs and ultrasonographies of the five hips showed normal joint anatomy. In neonates, ultrasonography provides an early and reliable evaluation of hips in which septic arthritis is suspected.
新生儿髋关节化脓性关节炎仍然是一个严重的问题。诊断和治疗延迟的后遗症可能导致残疾。对4例疑似化脓性关节炎的新生儿的5个髋关节进行了超声检查。超声检查发现2个髋关节有囊内积液。其余3个髋关节未发现病理改变。对2个有关节积液的髋关节进行了关节切开术，两例均排出了脓液。对这5个髋关节的随访X线片和超声检查显示关节解剖结构正常。在新生儿中，超声检查可为疑似化脓性关节炎的髋关节提供早期且可靠的评估。
