Swann M, Ansell B M
J Bone Joint Surg Br. 1986 May;68(3):404-8. doi: 10.1302/0301-620X.68B3.3733806.
In juvenile chronic arthritis the hips are commonly affected and this becomes the most important reason for losing independence and mobility: the joint develops a painful flexion contracture with marked loss of movement. Soft-tissue release operations consisting of psoas and adductor tenotomies have proved a safe and effective method of relieving pain and improving function. We report 89 such operations in 52 patients. More extensive soft-tissue release operations or synovectomy of the hips offer no advantage and recovery is often more painful and prolonged.
在青少年慢性关节炎中，髋关节常受影响，这成为丧失独立性和活动能力的最重要原因：关节会出现疼痛性屈曲挛缩，活动明显受限。包括腰大肌和内收肌切断术的软组织松解手术已被证明是缓解疼痛和改善功能的一种安全有效的方法。我们报告了52例患者中的89例此类手术。更广泛的软组织松解手术或髋关节滑膜切除术并无优势，而且恢复过程往往更痛苦、更漫长。
