Blane C E, Ragsdale C G, Hensinger R N
Department of Radiology (Section of Pediatric Radiology), University of Michigan, Ann Arbor.
J Pediatr Orthop. 1987 Nov-Dec;7(6):677-80.
Osseous changes at the hips were seen in the radiographs of 36 children with long-standing juvenile rheumatoid arthritis (JRA) and no significant steroid therapy. Seven boys and one girl had progressive primary inflammatory destruction of the hip with erosive arthritis and progressive joint space narrowing. Twenty-one girls and seven boys revealed adaptive developmental changes in the growing skeleton without erosion. Both courses resulted in secondary osteoarthritis and functional disability. Early recognition of adaptive, developmental changes may identify a group of children who may benefit from orthopedic intervention to maintain concentric, congruent reduction at the hip.
在36例患有长期幼年类风湿性关节炎（JRA）且未接受显著类固醇治疗的儿童的X光片中，发现了髋部的骨质改变。7名男孩和1名女孩出现了髋部进行性原发性炎症性破坏，伴有侵蚀性关节炎和关节间隙进行性变窄。21名女孩和7名男孩的生长骨骼出现适应性发育变化，但无侵蚀。这两种病程均导致继发性骨关节炎和功能残疾。早期识别适应性发育变化可能有助于确定一组儿童，他们可能从骨科干预中受益，以维持髋关节的同心、一致复位。
