Futami T, Kasahara Y, Suzuki S, Ushikubo S, Tsuchiya T
Orthopaedic Division, Medical Centre for Children, Shiga, Japan.
J Bone Joint Surg Br. 1991 Jul;73(4):635-9. doi: 10.1302/0301-620X.73B4.2071649.
We used ultrasonography to examine 36 children suffering from transient synovitis and 12 children with early Perthes' disease. Widening of the joint space was revealed by ultrasonography in all affected hips with either disease. In the patients with transient synovitis, capsular distension was attributed to synovial effusion, while in the patients with Perthes' disease it was produced by thickening of the synovial membrane. Neither capsular distension nor thickening of the joint cartilage was seen in the contralateral normal hip in the patients with transient synovitis, but they were common in early Perthes' disease. Ultrasonography may provide significant diagnostic clues to differentiate early Perthes' from transient synovitis.
我们采用超声检查了36例患有暂时性滑膜炎的儿童以及12例患有早期佩吉特氏病的儿童。超声检查显示，两种疾病中所有受累髋关节的关节间隙均增宽。在患有暂时性滑膜炎的患者中，关节囊扩张归因于滑膜积液，而在患有佩吉特氏病的患者中，关节囊扩张是由滑膜增厚所致。患有暂时性滑膜炎的患者对侧正常髋关节未见关节囊扩张及关节软骨增厚，但在早期佩吉特氏病中较为常见。超声检查可为鉴别早期佩吉特氏病和暂时性滑膜炎提供重要的诊断线索。
