Kiepurska A
Kliniki Ortopedii CMKP, Otwocku.
Chir Narzadow Ruchu Ortop Pol. 1994;59(4):285-93.
Eighteen cases of sclerosing osteomyelitis of the proximal femur in children and adolescent, chiefly boys, have been reported. The lack of local symptoms typical for infection is usually the cause of misdiagnosis and mistreatment. Persistent pain in the hip, especially nocturnal one is clinically characteristic. Unilateral thickening of the cortex at the level of lesser trochanter and below with condensed surrounding bone and sometimes a focus of translucency is found on the radiographs. The treatment should be surgical and "en bloc" resection of the changed bone is compulsory. Results of treatment have been assessed in 17 patients after a mean follow-up of 5 years.
已报告18例儿童和青少年股骨近端硬化性骨髓炎病例，主要为男孩。缺乏典型的感染局部症状通常是误诊和误治的原因。髋部持续疼痛，尤其是夜间疼痛，是其临床特征。X线片显示小转子水平及以下皮质单侧增厚，周围骨质致密，有时可见半透明区。治疗应采取手术方式，必须对病变骨进行“整块”切除。对17例患者进行了平均5年的随访，评估了治疗结果。
