Mukamel M, Litmanovitch M, Yosipovich Z, Grunebaum M, Varsano I
Clin Pediatr (Phila). 1985 Nov;24(11):629-31. doi: 10.1177/000992288502401105.
Forty-one children with transient synovitis of the hip and 10 children with Legg-Calve-Perthes disease were followed. All 41 cases of transient synovitis had a benign outcome. In this series, nine of the 10 children with Legg-Calve-Perthes disease were diagnosed upon their first roentgenographic examination. One child whose first diagnosis was transient synovitis remained symptomatic for 4 months, when he developed roentgenologic changes consistent with Perthes disease. The literature is reviewed and 455 cases of transient synovitis analyzed. Only one patient with transient synovitis developed Legg-Calve-Perthes disease after having been asymptomatic for a period of 3 months. In 17 other cases, symptoms persisted until Legg-Calve-Perthes was diagnosed. It is suggested that transient synovitis is a benign disease and that only children with protracted symptoms are at risk to develop Perthes disease.
对41例髋关节一过性滑膜炎患儿和10例Legg-Calve-Perthes病患儿进行了随访。41例一过性滑膜炎患儿均预后良好。在本系列中，10例Legg-Calve-Perthes病患儿中有9例在首次X线检查时被诊断出来。1例最初诊断为一过性滑膜炎的患儿在4个月内一直有症状，随后出现了与Perthes病一致的X线改变。回顾了相关文献并分析了455例一过性滑膜炎病例。只有1例一过性滑膜炎患者在无症状3个月后发展为Legg-Calve-Perthes病。在其他17例病例中，症状持续存在直至诊断为Legg-Calve-Perthes病。提示一过性滑膜炎是一种良性疾病，只有症状持续时间较长的儿童有发展为Perthes病的风险。
