Konermann W, de Pellegrin M
Orthopädische Klinik Lindenhof, Fakultät für Klinische Medizin Mannheim, Universität Heidelberg.
Orthopade. 1993 Sep;22(5):280-7.
The efficiency of ultrasonography was tested in examinations of 117 children with hip pain, transient synovitis (n = 41), Legg-Calvé-Perthes disease (n = 61) and epiphysiolysis capitis femoris (n = 15). The sonographic criteria for the evaluation are presented. In the case of transient synovitis the effusion persisted for < 2 weeks. In the early stage of Legg-Calvé-Perthes disease all patients had had capsular distension for > 6 weeks. A differential diagnosis between transient synovitis and Legg-Calvé-Perthes disease is possible. In the case of epiphysiolysis capitis femoris, it is possible to diagnose slipping of the epiphysis and capsular distension. The significance of synovitis in the pathogenesis of Legg-Calvé-Perthes disease is discussed.
对117名髋关节疼痛儿童进行了超声检查，其中包括41例暂时性滑膜炎、61例Legg-Calvé-Perthes病和15例股骨头骨骺溶解。介绍了用于评估的超声检查标准。在暂时性滑膜炎病例中，积液持续时间<2周。在Legg-Calvé-Perthes病的早期，所有患者均有>6周的关节囊扩张。暂时性滑膜炎和Legg-Calvé-Perthes病之间可以进行鉴别诊断。在股骨头骨骺溶解病例中，可以诊断出骨骺滑脱和关节囊扩张。讨论了滑膜炎在Legg-Calvé-Perthes病发病机制中的意义。
