He R G
General Hospital of People's Liberation Army, Beijing.
Zhonghua Wai Ke Za Zhi. 1993 Oct;31(10):599-601.
Two cases of idiopathic chondrolysis of the hip-joint in chinese boys were treated by the authors. By consulting medical literature, the etiology, diagnosis and treatment of this disease were discussed in this paper. The real cause of this disease is still unknown. When a preschool child, especially a girl, complains of pain and limitation of movement at one hip-joint without evident predisposing cause, plus narrowing of inter-articular space revealed by roentgenogram and normal values in hematology and ESR, this disease should be ruled out. Owing to lack of ideal therapy up to now, pain can be alleviated and ankylosis be prevented by performing active and passive functional exercises of the joint persistently under light load or no load conditions. Besides, immobilization of the joint by brace and plaster bandage are contraindications for this disease.
作者治疗了两例中国男孩的特发性髋关节溶解症。通过查阅医学文献，本文对该病的病因、诊断和治疗进行了讨论。该病的真正病因尚不清楚。当学龄前儿童，尤其是女孩，在无明显诱因的情况下出现一侧髋关节疼痛和活动受限，加上X线片显示关节间隙变窄且血液学和血沉值正常时，应排除此病。由于目前缺乏理想的治疗方法，通过在轻负荷或无负荷条件下持续进行关节的主动和被动功能锻炼，可以缓解疼痛并预防关节强直。此外，使用支具和石膏绷带固定关节是该病的禁忌证。
