Zwierzchowski H, Zwierzchowska D
Katedry i Kliniki Ortopedii AM, Lodzi.
Chir Narzadow Ruchu Ortop Pol. 1994;59(5):421-8.
The sequelae of arthritis of the hip in neonatal period have been analyzed in a series of 75 hips in 68 patients aged from 2 months to 14 years. The diagnosis was set on the basis of history, medical documentation, clinical and radiological examination with standard radiographs, arthrography and sonography included; sometimes as late as at surgery. In 15 joints with synovial type of septic arthritis pathological dislocation has been found. In 60 hips the inflammatory process involved proximal end of the femur. The sequelae strictly depended on localization of the pathology. On the basis of ossification disturbances, deformities and defects found within the head and neck on radiographs in 35 per cent of cases damaged epiphysis, physis and metaphysis were detected. In 23 per cent the neck was involved; in 42 per cent extensive damage to the head and neck was noted.
对68例年龄在2个月至14岁患者的75个髋关节的新生儿期髋关节炎后遗症进行了分析。诊断依据病史、医疗记录、临床和放射学检查,包括标准X线片、关节造影和超声检查;有时甚至在手术时才确诊。在15例滑膜型化脓性关节炎关节中发现了病理性脱位。在60个髋关节中,炎症过程累及股骨近端。后遗症严格取决于病变的部位。根据X线片上在股骨头和颈部发现的骨化紊乱、畸形和缺损,在35%的病例中检测到骺、骺板和干骺端受损。23%的病例累及颈部;42%的病例发现股骨头和颈部广泛受损。