Hasegawa Y, Ito H
Department of Orthopedic Surgery, Nagoya University School of Medicine, Japan.
Acta Orthop Scand. 1991 Aug;62(4):333-6. doi: 10.3109/17453679108994464.
Scintimetry and intracapsular pressure recordings were performed in 10 painful hips in children. Maximum intracapsular pressures were recorded with the hip in extension or in 90 degrees of flexion. Minimum pressures were recorded with the hip in semiflexion. Extremely high pressures were recorded in extension/maximum internal rotation. In 3 cases the pressure exceeded the estimated systolic blood pressure. There was a close correlation between the volume of aspirated fluid and intracapsular pressure. In a case of septic arthritis, ischemia in the epiphysis was noted scintigraphically. This ischemia was reversed following decompression by aspiration.
对10例儿童疼痛性髋关节进行了闪烁扫描和关节囊内压力记录。髋关节处于伸展位或90度屈曲位时记录最大关节囊内压力。髋关节处于半屈曲位时记录最小压力。在伸展/最大内旋位记录到极高的压力。3例患者的压力超过估计的收缩压。吸出液体积与关节囊内压力之间存在密切相关性。在一例化脓性关节炎病例中，闪烁扫描显示骨骺缺血。抽吸减压后，这种缺血情况得到逆转。
