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[新生儿髋关节化脓性关节炎的后遗症]

[Sequelae of septic arthritis of the hip in newborns].

作者信息

Zwierzchowski H, Zwierzchowska D

机构信息

Katedry i Kliniki Ortopedii AM, Lodzi.

出版信息

Chir Narzadow Ruchu Ortop Pol. 1994;59(5):421-8.

PMID:7736807
Abstract

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.

摘要

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。

相似文献

1
[Sequelae of septic arthritis of the hip in newborns].[新生儿髋关节化脓性关节炎的后遗症]
Chir Narzadow Ruchu Ortop Pol. 1994;59(5):421-8.
2
Classification and surgical management of the severe sequelae of septic hips in children.儿童感染性髋部严重后遗症的分类与外科治疗
Clin Orthop Relat Res. 1982 Nov-Dec(171):30-6.
3
Sequelae and reconstruction after septic arthritis of the hip in infants.婴儿髋关节化脓性关节炎的后遗症与重建
J Bone Joint Surg Am. 1990 Sep;72(8):1150-65.
4
Management of acquired dislocation of the hip in septic arthritis.脓毒性关节炎所致后天性髋关节脱位的处理
Orthop Clin North Am. 1980 Jan;11(1):51-64.
5
Septic arthritis of the hip in infancy: end result study.婴儿期髋关节化脓性关节炎:最终结果研究
Clin Orthop Relat Res. 1978 May(132):115-28.
6
[Perinatal septic arthritis of the hip. Diagnosis and treatment of sequelae].
Acta Orthop Belg. 1981 Jan-Feb;47(1):54-73.
7
Sequelae of septic arthritis of the hip in children: a new classification and a review of 41 hips.儿童髋关节化脓性关节炎的后遗症:一种新分类及对41例髋关节的回顾
J Pediatr Orthop. 2008 Jul-Aug;28(5):524-8. doi: 10.1097/BPO.0b013e31817bb079.
8
Surgical treatment of the severe sequelae of infantile septic arthritis of the hip.婴儿髋关节化脓性关节炎严重后遗症的外科治疗
Clin Orthop Relat Res. 2005 May(434):102-9. doi: 10.1097/00003086-200505000-00015.
9
Reconstruction for sequelae of septic hip in children.儿童化脓性髋关节炎后遗症的重建术。
J Formos Med Assoc. 1997 May;96(5):353-8.
10
[Treatment for complications of hip septic arthritis in newborns].
Chir Narzadow Ruchu Ortop Pol. 1995;60(4):287-93.

引用本文的文献

1
Sequelae of Septic Arthritis of Hip in a Child Presenting with Acetabular Defect and Hip Dislocation: A Rare Case Report and Literature Review on Successful Treatment with Steel Osteotomy.一名儿童髋关节化脓性关节炎后遗症伴髋臼缺损和髋关节脱位:罕见病例报告及关于钢截骨术成功治疗的文献综述
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2
Management of sequelae of septic arthritis of hip.髋关节化脓性关节炎后遗症的管理
Indian J Orthop. 2007 Oct;41(4):404-6. doi: 10.4103/0019-5413.37008.