EVOLUTION OF FEMORAL-HEAD DEFORMITY DURING THE HEALING PHASE OF LEGG-CALVE-PERTHES DISEASE

被引:44
作者
HERRING, JA
WILLIAMS, JJ
NEUSTADT, JN
EARLY, JS
机构
[1] Texas Scottish Rite Hospital for Children, Dallas, TX
关键词
FEMORAL HEAD DEFORMITY; LATERAL PILLAR CLASSIFICATION; LEGG-CALVE-PERTHES DISEASE;
D O I
10.1097/01241398-199301000-00009
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Progressive changes in the roundness of the femoral head were noted during the healing phase of hips with Legg-Calve-Perthes disease. Forty-nine of 136 hips studied became progressively rounder, and 15 hips became progressively flatter after onset of reossification of the femoral head. The femoral head was more likely to undergo progressive flattening in older patients, in those with more severe lateral pillar involvement, and in those with prolonged reossification. These changes occurred during a 3- to 4-year reossification period after cessation of treatment.
引用
收藏
页码:41 / 45
页数:5
相关论文
共 9 条
[1]  
Bowen J.R., Foster B.K., Hartzell C.R., Legg Calve Perthes disease, Clin Orthop, 185, pp. 97-108, (1985)
[2]  
Clarke N., Harrison M., Painful sequelae of coxa plana, J Bone Joint Surg [Am], 65, pp. 13-18, (1983)
[3]  
Dickens D., Menelaus M.B., The assessment of the prognosis of Perthes' disease, J Bone Joint Surg [Br], 60, pp. 189-194, (1978)
[4]  
Ferguson A.B., Howorth M.B., Coxa plana and related conditions at the hip, J Bone Joint Surg, 16, pp. 781-803, (1934)
[5]  
Gershuni D.H., Axer A., Handel D., Arthrographic findings in Legg-Calve-Perthes disease and transient synovitis of the hip, J Bone Joint Surg [Am], 60, pp. 457-464, (1978)
[6]  
Stulberg S.D., Cooperman D.R., Wallensten R., The natural history of Legg-Calve-Perthes disease, J Bone Joint Surg [Am], 63, pp. 1095-1108, (1981)
[7]  
Thompson G., Westin G.W., Legg-Calve-Perthes disease: Results of discontinuing treatment in the early reossification stage, Clin Orthop, 139, pp. 70-80, (1979)
[8]  
Weinstein S.L., Legg-Calve-Perthes disease, Lovell and Winter's Pediatric Orthopedics, pp. 851-884, (1990)
[9]  
Wenger D.R., Ward T.W., Hering J.A., Current concepts review Legg Calve Perthes disease, J Bone Joint Surg [Am], 73, pp. 778-788, (1991)