János K, Ottó B, Arpád B
Magy Traumatol Orthop Helyreallito Seb. 1976;19(2):90-4.
Out of the 32 patients treated with Perthes' disease in the Orthopaedic Department of the University Medical School, PECS, in 9 cases bilateral course has been observed. Out of 23 children with Perthes' disease and unilateral, typical course the authors have observed in 12 patients pathological X-ray signs on the "intact" side--which were more distinct on the epiphyseal center, but chiefly on the growth intervertebral disk and on the metaphysis. In the same time, no subjective complaints and no other objective clinical symptoms pointed to Perthes' disease. It is supposed by the authors that transient ischaemic state may occur also on the side classified as "intact", but with reversible consequences, thus, the alterations of the epiphyseal center do not display the typical course of the Perthes' disease.
在佩奇大学医学院骨科接受佩特兹氏病治疗的32名患者中,观察到9例为双侧病程。在23例患有佩特兹氏病且病程为单侧典型病程的儿童中,作者在12例患者的“未患病”侧观察到了病理性X线征象——这些征象在骨骺中心更为明显,但主要出现在生长椎间盘和干骺端。与此同时,没有主观症状,也没有其他客观临床症状表明患有佩特兹氏病。作者推测,在被归类为“未患病”的一侧也可能出现短暂性缺血状态,但后果是可逆的,因此,骨骺中心的改变并未呈现佩特兹氏病的典型病程。