Kjaerulff H, Hejgaard N
Department of Orthopedics, Rigshospitalet, University of Copenhagen, Denmark.
Acta Orthop Scand. 1987 Aug;58(4):436-40. doi: 10.3109/17453678709146377.
Two girls, aged 11 and 7 years, with myelomeningocele had osteonecrosis in the lateral tibial epiphysis and in the medial femoral condyle, respectively. Both girls suffered from sensory impairment of the affected area and presented with warmth and swelling of the knee. No signs of infection were found. The necroses seen in radiographs were confirmed by biopsy and 99mTc-MDP scintigraphy. The lesions showed only little tendency to heal, and rather severe growth disturbances developed despite treatment in long leg calipers. One of the girls was unable to walk because of the loss of muscular power during the long period of bracing.
两名患有脊髓脊膜膨出的女童，年龄分别为11岁和7岁，分别在胫骨外侧骨骺和股骨内侧髁发生骨坏死。两名女童受影响区域均有感觉障碍，且膝关节出现发热和肿胀。未发现感染迹象。X线片上所见的坏死经活检和99mTc-MDP骨闪烁显像得以证实。病变几乎没有愈合倾向，尽管采用长腿支具治疗，仍出现了相当严重的生长障碍。其中一名女童因长期使用支具导致肌肉力量丧失而无法行走。
