Marchal G J, Van Holsbeeck M T, Raes M, Favril A A, Verbeken E E, Casteels-Vandaele M, Baert A L, Lauweryns J M
Radiology. 1987 Mar;162(3):825-8. doi: 10.1148/radiology.162.3.3544039.
Transient synovitis of the hip remains a common diagnostic problem for the clinician. The physical signs are not pathognomonic of the condition, and the classic technical examinations are of little help. Therefore, the authors retrospectively studied the value of hip arthrosonography in 46 children with clinical symptoms suggesting pathologic hip conditions. In 20 of the 21 patients with a final diagnosis of transient synovitis, articular effusion was detected on ultrasound (US). Conventional radiography showed an increased medial joint space in only eight of these patients. Increased echogenicity of the articular fluid was found in both transient synovitis and septic arthritis. The high sensitivity of US in detecting intraarticular fluid was demonstrated by cadaver studies.
髋关节一过性滑膜炎对临床医生来说仍是一个常见的诊断难题。其体征并非该病症所特有的，经典的技术检查也帮助不大。因此，作者回顾性研究了髋关节超声检查对46例有提示病理性髋关节病症临床症状的儿童的价值。在最终诊断为一过性滑膜炎的21例患者中，有20例在超声检查中发现关节积液。传统X线摄影仅在其中8例患者中显示内侧关节间隙增宽。在一过性滑膜炎和化脓性关节炎中均发现关节液回声增强。尸体研究证实了超声在检测关节内积液方面具有高敏感性。
