Kallio P E, Lequesne G W, Paterson D C, Foster B K, Jones J R
Adelaide Children's Hospital, Australia.
J Bone Joint Surg Br. 1991 Nov;73(6):884-9. doi: 10.1302/0301-620X.73B6.1955429.
We used ultrasonography to study 26 hips with slipped capital femoral epiphyses. In recently slipped epiphyses the ultrasound image revealed a step at the anterior physeal outline (mean 6.4 mm), diminished distance between the anterior acetabular rim and the femoral metaphysis (mean 4.3 mm) and an effusion. As metaphyseal remodelling progressed the physeal step decreased. The femoral neck appeared straighter in hips which had been symptomatic for longer than three weeks. It was possible to measure posterior epiphyseal displacement without projectional errors and the method was accurate in diagnosing minimal slip and in staging displacement. The suggested criteria are, less than 7 mm for a mild slip, 7 to 11 mm for a moderate slip and more than 11 mm for a severe slip. We recommend ultrasonography for the diagnosis, staging and follow-up management of slipped upper femoral epiphysis.
我们采用超声检查了26例股骨头骨骺滑脱的髋关节。在近期发生滑脱的骨骺中，超声图像显示在骨骺前缘轮廓处有一级台阶（平均6.4毫米），髋臼前缘与股骨干骺端之间的距离减小（平均4.3毫米），并有积液。随着干骺端重塑的进展，骨骺台阶减小。在症状持续超过三周的髋关节中，股骨颈显得更直。可以在无投照误差的情况下测量骨骺后移位，该方法在诊断微小滑脱和对移位进行分期方面准确可靠。建议的标准为：轻度滑脱小于7毫米，中度滑脱7至11毫米，重度滑脱大于11毫米。我们推荐超声检查用于诊断、分期以及对股骨头骨骺滑脱的后续处理。
