Gatchou Alberic Lionel Kolontchang, Sanguina Mario, Agbelele Penance, Manga Alexandre, Kikar Abdoul, Ameur Nourredine, Girard Pierre, Zerkly Bachar, Ibrahima Farikou
Sorbonne Université, Paris, France.
Service de Chirurgie Orthopédique et Traumatologique, Groupe Hospitalier Publique Sud de l'Oise, Creil, France.
Pan Afr Med J. 2020 Oct 2;37:112. doi: 10.11604/pamj.2020.37.112.23228. eCollection 2020.
The therapeutic approach for the treatment of children with radiologically "normal" hip presenting with epiphysiolysis of the contralateral upper femur is controversial. We here report the case of a 12-year-old boy with osteonecrosis of radiologically "normal" and asymptomatic left femoral head prophylactically fixed due to acute femoral epiphysiolysis of the contralateral hip. Eight months after first surgery, the patient developed symptoms of avascular osteonecrosis of the femoral head. Specific criteria to be used in evaluating the most effective treatment between preventive screw or simple close monitoring exist. Despite these criteria, the risk of osteonecrosis in the "healthy" hip is not zero.
对于放射学检查显示“正常”但对侧股骨上端出现骨骺溶解的儿童，其治疗方法存在争议。我们在此报告一例12岁男孩的病例，该男孩因对侧髋关节急性股骨骨骺溶解，对放射学检查“正常”且无症状的左侧股骨头进行预防性固定，随后发生了骨坏死。在评估预防性螺钉固定或单纯密切监测这两种最有效治疗方法时，存在特定的标准。尽管有这些标准，但“健康”髋关节发生骨坏死的风险并非为零。
