Lequesne M, Becker J, Bard M, Witvoet J, Postel M
Skeletal Radiol. 1981;6(1):1-10. doi: 10.1007/BF00347339.
Orthodox radiological examination of patients presenting with disorders of the hip, usually on account of pain and limitation of movement, may vary in diagnostic value. As a supplementary study we have employed arthrography. During this procedure we have, since 1970, routinely assessed the capacity of the joint capsule. The normal capacity varies from 20 ml in a large adult male to 14 ml in a small adult female. Significant reduction of this volume has been observed as a secondary complication of certain organic lesions, including four cases of synovial chondromatosis, one case of an intra-articular loose body, and one case of osteoid osteoma of femoral neck. In these secondary cases, the only common feature visible on the plain film was regional osteopenia. In these patients symptoms persisted until adequate surgical measures had been performed. (Descriptive term proposed: secondary capsular constriction of the hip: SCCH). In another group of seven patients, in whom orthodox radiological studies were unrewarding, arthrography was undertaken on account of persistent pain and limitation of movement. Similar reduction in the capacity of the joint was found, but in each case spontaneous resolution of the symptoms took place, without surgical intervention, in periods varying from three to 18 months. This self-limiting syndrome appears to be analogous to that of the "frozen shoulder" and, like the latter, is associated frequently with barbiturism.
因髋部疾病就诊的患者，通常因疼痛和活动受限接受传统放射学检查，其诊断价值可能各不相同。作为一项补充研究，我们采用了关节造影术。自1970年起，在该检查过程中，我们常规评估关节囊的容量。正常容量在成年男性中为20毫升，成年女性中为14毫升。作为某些器质性病变的继发并发症，观察到该容量显著减少，包括4例滑膜软骨瘤病、1例关节内游离体和1例股骨颈骨样骨瘤。在这些继发病例中，平片上可见的唯一共同特征是局部骨质减少。在这些患者中，症状持续存在，直到采取了充分的手术措施。（建议使用的描述性术语：髋部继发性关节囊狭窄：SCCH）。在另一组7例患者中，传统放射学检查无结果，因持续疼痛和活动受限进行了关节造影。发现关节容量有类似减少，但在每种情况下，症状在3至18个月不等的时间内自行缓解，无需手术干预。这种自限性综合征似乎类似于“冻结肩”，并且与后者一样，经常与巴比妥中毒有关。
