Baunin C, Moreno P, Clément J L, Railhac J J, Cahuzac J P
Chir Pediatr. 1986;27(2):75-8.
The authors report their experience concerning echography in 40 children. They emphasize its importance in the painful hip. All patients suffered with a painful limping with normal standard front and profile X-Rays. Echography appears to be a test both simple and reliable to discern synovial extravasation (no false positive). Yet, it is not able to predict the kind of effusion. More especially, echography is not limited to the very diagnosis of extravasation: in acute transient synovitis, it shows an enlargement of the joint cavity, with no effusion, giving evidence of the inflammatory synovial reaction, in arthritis, it allows a good survey, pointing out healing under treatment, persistent extravasation commanding iterative succions, and the coming out of an articular septation.
作者报告了他们对40名儿童进行超声检查的经验。他们强调了超声在疼痛性髋关节中的重要性。所有患者均有疼痛性跛行,标准前后位和侧位X线片正常。超声似乎是一种简单可靠的检查方法,可辨别滑膜渗出(无假阳性)。然而,它无法预测渗出液的类型。更特别的是,超声不仅限于渗出的诊断:在急性短暂性滑膜炎中,它显示关节腔扩大,无渗出液,表明存在炎症性滑膜反应;在关节炎中,它有助于很好地观察,指出治疗中的愈合情况、持续渗出需要反复抽吸以及关节间隔的出现。