[双侧特发性髋关节溶解症——一名青少年患者的病例报告]

Schumann Eckehard, Kübler Fabian Bastian, Roth Christian, Heyde Christoph-E, Roth Andreas

Klinik und Poliklinik für Orthopädie, Unfallchirurgie und Plastische Chirurgie, Universitätsklinikum Leipzig, Leipzig, Deutschland.

Abteilung für Pädiatrische Radiologie, Universitätsklinikum Leipzig, Leipzig, Deutschland.

Orthopade. 2020 Jun;49(6):538-542. doi: 10.1007/s00132-020-03885-w.

The diagnosis and treatment of idiopathic chondrolysis of the hips are described in the case of a 12-year-old girl. The patient presented with intermittent pain and extreme dysfunction of both hips. After clinical examination and pelvic X‑ray, MRI showed the typical changes of idiopathic chondrolysis. Purely conservative treatment with systematic physiotherapy and regular application of a non-steroidal anti-inflammatory drug produced a good clinical result.

本文描述了一名12岁女孩髋关节特发性软骨溶解症的诊断与治疗情况。该患者表现为双侧髋关节间歇性疼痛和严重功能障碍。经临床检查及骨盆X光检查后，磁共振成像（MRI）显示出特发性软骨溶解症的典型变化。单纯采用系统物理治疗及定期使用非甾体类抗炎药进行保守治疗取得了良好的临床效果。