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儿童股骨头骨软骨病

Femoral head osteochondritis dissecans in a child.

机构信息

Pediatric Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA

Pediatric Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

出版信息

BMJ Case Rep. 2023 Mar 17;16(3):e253375. doi: 10.1136/bcr-2022-253375.

DOI:10.1136/bcr-2022-253375
PMID:36931689
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10030482/
Abstract

This case report describes an early-adolescent boy with an osteochondritis dissecans (OCD) lesion of the left femoral head secondary to significant acetabular dysplasia and coxa valga of the proximal femur. Patient underwent left proximal femur varus osteotomy. Follow-up imaging demonstrates healing and resolution of the OCD lesion. Future plan for left hip is periacetabular osteotomy, following triradiate cartilage closure, to correct acetabular dysplasia. The aim of this case report is to support clinicians in the assessment and treatment of this rare condition.

摘要

本病例报告描述了一名青少年男孩，由于髋臼发育不良和股骨近端髋内翻，左侧股骨头发生剥脱性骨软骨炎（OCD）病变。患者接受了左侧股骨近端内翻截骨术。随访影像学显示 OCD 病变愈合和消退。左侧髋关节的未来计划是在三骺软骨闭合后进行髋臼周围截骨术，以纠正髋臼发育不良。本病例报告的目的是为临床医生评估和治疗这种罕见疾病提供支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6acd/10030482/6549755221c7/bcr-2022-253375f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6acd/10030482/b531a9a9a576/bcr-2022-253375f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6acd/10030482/3ff3a2ab1afc/bcr-2022-253375f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6acd/10030482/717379f9c9d9/bcr-2022-253375f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6acd/10030482/6549755221c7/bcr-2022-253375f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6acd/10030482/b531a9a9a576/bcr-2022-253375f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6acd/10030482/3ff3a2ab1afc/bcr-2022-253375f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6acd/10030482/717379f9c9d9/bcr-2022-253375f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6acd/10030482/6549755221c7/bcr-2022-253375f04.jpg

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本文引用的文献

1
Osteochondritis dissecans of the talus.距骨剥脱性骨软骨炎
Joints. 2014 Aug 1;2(3):115-23. doi: 10.11138/jts/2014.2.3.115. eCollection 2014 Jul-Sep.
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Osteochondritis dissecans: editorial comment.剥脱性骨软骨炎：编者按
Clin Orthop Relat Res. 2013 Apr;471(4):1105-6. doi: 10.1007/s11999-013-2837-6.
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A review of knowledge in osteochondritis dissecans: 123 years of minimal evolution from König to the ROCK study group.剥脱性骨软骨炎知识回顾：从 König 到 ROCK 研究组，123 年的微小演变。
Clin Orthop Relat Res. 2013 Apr;471(4):1118-26. doi: 10.1007/s11999-012-2290-y.
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Osteochondritis dissecans of the femoral head.
Hip Int. 2010 Oct-Dec;20(4):489-96. doi: 10.1177/112070001002000412.
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Clin Orthop Relat Res. 2009 Jan;467(1):128-34. doi: 10.1007/s11999-008-0481-3. Epub 2008 Nov 26.
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Fate of the osteochondral fragments in osteochondritis dissecans after Legg-Calve-Perthes' disease.Legg-Calve-Perthes病后剥脱性骨软骨炎中骨软骨碎片的转归
J Bone Joint Surg Br. 2002 Sep;84(7):1025-9. doi: 10.1302/0301-620x.84b7.13227.
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Osteochondritis dissecans of the femoral head in children and adolescents: a report of 17 cases.
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10
Osteochondritis dissecans of elbow, ankle and hip: a comparison survey.肘、踝和髋关节剥脱性骨软骨炎：一项比较研究
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