MEYER'S DYSPLASIA IN THE DIFFERENTIAL DIAGNOSIS OF HIP PAIN IN CHILDHOOD.
作者信息
Narimatsu Fabio Carramão, Barroso Pedro Alcantara, Chueire Alceu José Fornari Gomes, Costa Paulo Humberto Mem Martendal, Akkari Miguel, Santili Claudio
机构信息
Irmandade da Santa Casa de Misericordia de São Paulo, Departamento de Ortopedia e Traumatologia "Pavilhao Fernandinho Simonsen", Grupo de Ortopedia e Traumatologia, Sao Paulo, SP, Brazil.
Hospital da Criança e Maternidade (HCM), Faculdade de Medicina de São Jose do Rio Preto, Grupo de Ortopedia Pediatrica, Sao Jose do Rio Preto, SP, Brazil.
出版信息
Acta Ortop Bras. 2024 Oct 28;32(5):e278967. doi: 10.1590/1413-785220243205e278967. eCollection 2024.
OBJECTIVE
This study reviews the literature and shares clinical experiences, emphasizing its diagnostic relevance in children under 5 years of age.
METHOD
We examined 169 cases of Legg-Calvé-Perthes disease (LCPD) in patients in this age group. We analyzed medical records and images, observing variables such as age, gender, complaints, treatment, and outcomes.
RESULTS
We studied 20 patients with Meyer's dysplasia, representing 1.4% of LCPD cases in children. The majority were boys (85%) with symptom onset at 38 months. Claudication (25%) and mild pain (40%) were the main complaints. Radiographic findings showed a smaller, granular, or asymmetric nucleus. The average follow-up was 6.4 years, with interventional treatment in 5 cases. Most showed complete reossification and centralization of the femoral head.
CONCLUSION
Meyer's dysplasia is a rare condition that affects the hip in children under 5 years of age, predominantly in boys. It usually does not require intensive treatment; clinical and radiological follow-up is sufficient. However, it is important to be aware of possible unfavorable progressions, requiring more aggressive treatment to prevent complications.
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