Gent Edward, Antapur Prasad, Fairhurst Joanne, Taylor Graeme R, Clarke Nicholas M P
Department of Orthopaedics, Southampton General Hospital, Southampton, UK.
J Pediatr Orthop B. 2006 Jan;15(1):16-22. doi: 10.1097/01202412-200601000-00004.
We report two cases of very young children who presented with irritable hips and in whom magnetic resonance imaging with gadolinium-enhancement revealed ischaemic changes affecting the capital ossific nucleus. Radiological changes consistent with Perthes' disease subsequently appeared. In the published literature Perthes' disease has been reported in children as young as 24 months. Gadolinium-enhanced magnetic resonance imaging has revealed Perthes' disease in younger children which can predate the appearance of radiographic changes by up to 3 months.
我们报告了两例幼儿病例，他们表现为髋关节疼痛，钆增强磁共振成像显示股骨头骨骺出现缺血性改变。随后出现了与佩特兹病相符的放射学改变。在已发表的文献中，有24个月大儿童患佩特兹病的报道。钆增强磁共振成像已显示年龄更小的儿童患有佩特兹病，其可早于放射学改变出现长达3个月。
