Campbell P, Tarlow S D
Shriners Hospital for Crippled Children, Portland, OR 97201.
J Pediatr Orthop. 1990 Jan-Feb;10(1):6-8.
One hundred forty-two consecutive patients treated at the Portland Shriners Hospital from 1975 through 1984 for congenital hip dysplasia were reviewed. Fourteen patients (10%) with 18 lateral physeal tethers were identified; three tethers occurred in the uninvolved hip. The lateral bridge was apparent at an average of 8 years. Age at initial treatment averaged 10 months and, at follow-up, 10 years. Fourteen of the tethers occurred in the treated hip, five after open reductions, and seven after closed reductions. Lateral physeal tethering is an iatrogenic entity. Knowledge of this condition should lead to early recognition and prevention of the secondary deformities.
回顾了1975年至1984年期间在波特兰施莱宁斯医院接受先天性髋关节发育不良治疗的142例连续患者。确定了14例（10%）有18条外侧骨骺束带的患者；3条束带出现在未受累髋关节。外侧桥平均在8岁时明显。初始治疗时的平均年龄为10个月，随访时为10岁。其中14条束带出现在治疗侧髋关节，5条在切开复位后出现，7条在闭合复位后出现。外侧骨骺束带是一种医源性疾病。了解这种情况应能早期识别并预防继发性畸形。
