Rosa D, Iammarrone C S, Bellucci R
1 Clinica Ortopedica, Istituto di Chirurgia dell'apparato locomotore e Chirurgia d'urgenza, II Facoltà di Medicina e Chirurgia, Napoli.
Chir Organi Mov. 1991 Jul-Sep;76(3):297-300.
Epiphyseal detachment-dislocation of the proximal femur constitutes a traumatic lesion, the immediate resolution of which always requires surgical treatment. How early treatment is carried out is important in improving the prognosis of the lesions which, however, in most cases is poor. In our case, clinical examination made 6 years post-surgery shows satisfactory preservation of range of movement with no important subjective disorders and with a minimal amount of hypometria (1 cm) even if structural epiphyseal changes visualized on radiographic examination and CT scan predict progression towards early arthritic degeneration.
股骨近端骨骺分离脱位是一种创伤性损伤，其即时治疗总是需要手术治疗。尽早进行治疗对于改善损伤的预后很重要，然而在大多数情况下，预后很差。在我们的病例中，术后6年的临床检查显示活动范围保持良好，无重要主观不适，即使影像学检查和CT扫描显示骨骺结构改变预示着早期关节炎退变的进展，但仍仅有少量的活动度减小（1厘米）。
