Bassett G S
Department of Orthopaedics, University of Southern California School of Medicine, Children's Hospital Los Angeles.
J Pediatr Orthop. 1993 Mar-Apr;13(2):159-63.
Intraosseous endoscopic examination of the femoral neck and head was performed during the course of percutaneous screw fixation in 12 patients with slipped capital femoral epiphysis (SCFE). Visualization was satisfactory in 13 hips of these patients. We were able to distinguish trabecular bone and physeal cartilage endoscopically. Evidence of articular penetration was documented endoscopically in two patients. One patient had been referred for persistent hip pain and chondrolysis 6 months after screw insertion. Chronic joint penetration was observed endoscopically at the time of revision operation. In the second patient, transient pin penetration was visualized during cannulated screw fixation of a severe slip.
在12例股骨头骨骺滑脱（SCFE）患者进行经皮螺钉固定的过程中，对股骨颈和股骨头进行了骨内内镜检查。这些患者的13个髋关节的可视化效果令人满意。我们能够在内镜下区分小梁骨和骺软骨。两名患者在内镜下记录到关节穿透的证据。一名患者在螺钉插入6个月后因持续的髋关节疼痛和软骨溶解前来就诊。在翻修手术时内镜观察到慢性关节穿透。在第二名患者中，在严重滑脱的空心螺钉固定过程中可视化到短暂的钢针穿透。
