Arcq M
Z Orthop Ihre Grenzgeb. 1980 Dec;118(6):882-8. doi: 10.1055/s-2008-1053344.
The question whether disturbances of hormonal regulation influence the development of the hip joint, is examined on the basis of roentgenographs in 25 patients with epiphyseolysis. We can conclude from the numerous collected data that gross anatomy (especially the harmonic development between head and acetabulum) is largely normal. A change of the abductor angle of Debrunner in the sense of a reduction may exercise an unfavorable influence on the load which the entire hip joint has to bear (due to reduction of the lever arm of the musculature with an abductor effect). Besides, hormonal dysregulation produces a very minimal enlargement of the head radius and of the load area as well as of the length of the neck of the femur c, which may possibly become biomechanically manifest. The slight change in shape of the entire pelvic girdle is reminiscent of the late form of osteoarthrosis of the hip (coxarthrosis) on the basis of a so-called enchondral dysostosis. The working hypothesis according to which this normal dysostosis would in fact be a late form of epiphyseolysis, remains unconfirmed.
激素调节紊乱是否会影响髋关节发育这一问题，是基于25例骨骺溶解患者的X线片进行研究的。从大量收集的数据中我们可以得出结论，大体解剖结构（尤其是股骨头与髋臼之间的协调发育）在很大程度上是正常的。德布勒内外展角减小可能会对整个髋关节所承受的负荷产生不利影响（由于具有外展作用的肌肉的力臂减小）。此外，激素失调会使股骨头半径、负荷面积以及股骨颈长度c有非常微小的增大，这可能会在生物力学上表现出来。整个骨盆带形状的轻微变化让人联想到基于所谓软骨内发育异常的髋关节骨关节炎（髋关节炎）的晚期形式。认为这种正常发育异常实际上是骨骺溶解晚期形式的工作假说尚未得到证实。
