Jani L, Hefti F
Orthopädische Universitätsklinik Mannheim.
Orthopade. 1990 Aug;19(4):191-9.
The natural history of avascular necrosis of the femoral head in children and adolescents shows significant differences compared to the course of this disease in adults. Depending on the remaining growth potential, even extensive damage of the femoral head can regenerate, as long as the epiphyseal growth plate is not involved in the process. Otherwise, the deformity will increase with time. Current knowledge on the etiology, natural history, diagnosis and treatment is described on Perthes' disease and other possible causes of avascular necrosis, such as CDH, epiphyseolysis of the femoral head, femoral neck fracture and some uncommon diseases.
儿童和青少年股骨头缺血性坏死的自然病史与成人该疾病的病程相比存在显著差异。根据剩余的生长潜力，只要骨骺生长板未参与其中，即使股骨头受到广泛损伤也可再生。否则，畸形会随时间加重。关于佩特兹病以及其他可能导致缺血性坏死的病因，如先天性髋关节脱位、股骨头骨骺滑脱、股骨颈骨折和一些罕见疾病，本文阐述了目前在病因、自然病史、诊断和治疗方面的知识。
