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一名2岁儿童的佩特兹病。

Perthes disease in a 2-year-old child.

作者信息

Dhas Daphne, Viswanath Aparna, Latimer Mark David

机构信息

Department of Orthopaedics, Peterborough and Stamford Hospitals, Peterborough, UK.

Department of Orthopaedics, Peterborough and Stamford Hospitals, Peterborough, UK Addenbrookes Hospital, Cambridge, UK.

出版信息

BMJ Case Rep. 2015 Mar 2;2015:bcr2014206731. doi: 10.1136/bcr-2014-206731.

DOI:10.1136/bcr-2014-206731
PMID:25733084
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4368958/
Abstract

Perthes disease represents a transient interruption of the blood supply to the femoral head followed by collapse and subsequent remodelling. The majority of cases present between the ages of 4 and 10 years. We report the case of a child who developed a painful right-sided limp some days after his second birthday. The limp was initially interpreted as a transient synovitis of the hip. However, when the limp persisted, further investigations revealed that he had Perthes disease.

摘要

佩特兹病表现为股骨头血液供应的短暂中断,随后出现塌陷及后续重塑。大多数病例发生在4至10岁之间。我们报告一例患儿,其在两岁生日几天后出现右侧疼痛性跛行。最初,该跛行被诊断为髋关节一过性滑膜炎。然而,当跛行持续存在时,进一步检查发现他患有佩特兹病。

相似文献

1
Perthes disease in a 2-year-old child.一名2岁儿童的佩特兹病。
BMJ Case Rep. 2015 Mar 2;2015:bcr2014206731. doi: 10.1136/bcr-2014-206731.
2
Legg-Calve-Perthes disease following transient synovitis. How often?短暂性滑膜炎后发生的Legg-Calve-Perthes病。发生率如何?
Clin Pediatr (Phila). 1985 Nov;24(11):629-31. doi: 10.1177/000992288502401105.
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MRI of Legg-Calve-Perthes disease.Legg-Calve-Perthes病的磁共振成像
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Early Legg-Perthes disease (ischemic necrosis of the femoral head) demonstrated by magnetic resonance imaging.
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Orthopade. 1993 Sep;22(5):280-7.
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Perthes' or Perthes' resembling disease in 13-month-old boy.
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[Legg-Calve-Perthes disease--a mysterious hip joint disease in children. Diagnosis, investigation and treatment].
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[Value of MR for the diagnosis, differential diagnosis and therapy follow-up of Perthes' disease].
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[Legg-Calvé-Perthes disease].[莱-卡-佩病]
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引用本文的文献

1
A not to be missed cause in a child with atraumatic limp.儿童无创伤性跛行时不可漏诊的病因。
Malays Fam Physician. 2019 Dec 31;14(3):68-70. eCollection 2019.

本文引用的文献

1
Perthes' or Perthes' resembling disease in 13-month-old boy.
J Pediatr Orthop B. 2008 May;17(3):120-4. doi: 10.1097/BPB.0b013e3282f9461e.
2
Perthes' disease in the very young child.幼儿的佩特兹病。
J Pediatr Orthop B. 2006 Jan;15(1):16-22. doi: 10.1097/01202412-200601000-00004.
3
Meyer dysplasia in the differential diagnosis of hip disease in young children.
Arch Pediatr Adolesc Med. 1999 Sep;153(9):942-5. doi: 10.1001/archpedi.153.9.942.
4
Transient synovitis of the hip. Its incidence, epidemiology and relation to Perthes' disease.髋关节一过性滑膜炎。其发病率、流行病学及与佩特兹病的关系。
J Bone Joint Surg Br. 1987 Mar;69(2):238-42. doi: 10.1302/0301-620X.69B2.3818754.
5
The influence of joint posture on intra-articular pressure. A study of transient synovitis and Perthes' disease.关节姿势对关节内压力的影响。关于短暂性滑膜炎和佩特兹病的研究。
J Bone Joint Surg Br. 1987 Jan;69(1):71-4. doi: 10.1302/0301-620X.69B1.3818737.
6
Transient synovitis and Perthes' disease. Is there an aetiological connection?短暂性滑膜炎与佩特兹病。它们存在病因学上的关联吗?
J Bone Joint Surg Br. 1986 Nov;68(5):808-11. doi: 10.1302/0301-620X.68B5.3782251.
7
The epidemiology of Perthes' disease.
Clin Orthop Relat Res. 1986 Aug(209):89-94.
8
Avascular necrosis of the femoral head in children under the age of three.
Clin Orthop Relat Res. 1977 Jul-Aug(126):193-5.