Pajić D, Petković L, Tomasević V
Institut za zdravstvenu zasitu majke i deteta, Hajduk Velijkova, Medicinski fakultet, Novi Sad.
Med Pregl. 1992;45(9-10):349-52.
The most common cause of a limp in childhood is transitory synovitis of the hip. At the Paediatric Surgery Clinic in Novi Sad, in the period from 1989 to 1991, 58 children were treated for hip transitory synovitis and the diagnosis was confirmed by ultrasonic finding of the exudate in the joint. The ultrasonic investigation of the hips was performed by using Siemens and Kretz scanners equipped with 5 MHz linear or sector transducers. The approach to the hip was frontal and the lower extremity has been in the neutral position. The distance between the femoral neck and the joint capsule was verified according to the Adam's morphometric procedure. The measured pathological values were from 7 mm to 14 mm (normal values are from 2 mm to 4 mm). In the routine transitory synovitis diagnosis, real-time arthrosonography of the hip shows high sensitivity, accuracy and selective values compared to other diagnostic procedures.
儿童跛行最常见的原因是髋关节暂时性滑膜炎。在诺维萨德的儿科外科诊所，1989年至1991年期间，有58名儿童因髋关节暂时性滑膜炎接受治疗，关节内渗出液的超声检查结果证实了诊断。使用配备5MHz线性或扇形探头的西门子和Kretz扫描仪对髋关节进行超声检查。检查髋关节时采用前位，下肢处于中立位。根据亚当斯形态测量法测量股骨颈与关节囊之间的距离。测量得到的病理值为7毫米至14毫米（正常值为2毫米至4毫米）。在常规的暂时性滑膜炎诊断中，与其他诊断方法相比，髋关节实时关节超声检查具有较高的敏感性、准确性和特异性。
