EVALUATION OF MAGNETIC-RESONANCE-IMAGING IN LEGG-PERTHES DISEASE - A PROSPECTIVE, BLINDED STUDY

被引:36
作者
HENDERSON, RC
RENNER, JB
STURDIVANT, MC
GREENE, WB
机构
[1] Division of Orthopaedic Surgery, Chapel Hill, NC
[2] Department of Radiology, University of North Carolina, Chapel Hill, NC
[3] Department of Orthopaedic Surgery, UVA Medical Center, Charlottesville, VA
关键词
Legg-Perthes disease; Magnetic resonance imaging;
D O I
10.1097/01241398-199005000-00001
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
Twenty-two patients (24 hips) with Legg-Perthes disease received 49 magnetic resonance (MRI) scans. The scans and corresponding radiographs were independently evaluated in a blinded fashion to assess the capabilities of, and indications for, MRI in Legg-Perthes disease. Early in the disease process, MRI often more clearly delineated the extent and location of areas of involvement than did plain radiographs. In one patient, MRI failed to indicate necrosis early in the course of the disease, but it was detected on plain radiographs. MRI can also be used to give a rough estimate of sphericity, which in some phases of the disease process is better than plain radiographs. For serially following the disease process through the natural healing course, plain radiographs were as good or better than MRI and considerably less costly. © 1990 Raven Press, Ltd., New York.
引用
收藏
页码:289 / 297
页数:9
相关论文
共 25 条
[1]  
Bassett L.W., Gold R.H., Reicher M., Bennett L.R., Tooke S.M., Magnetic resonance imaging in the early diagnosis of ischemic necrosis of the femoral head: Preliminary results, Clin Orthop, 214, pp. 237-248, (1987)
[2]  
Bassett L.W., Mirra J.M., Cracchiolo A., Gold R.H., Ischemic necrosis of the femoral head: Correlation of magnetic resonance imaging and histologic sections, Clin Orthop, 223, pp. 181-187, (1987)
[3]  
Bluemm R.G., Falke T., Ziedses Des Plantes B.G., Steiner R.M., Early Legg-Perthes disease (Ischemic necrosis of the femoral head) demonstrated by magnetic resonance imaging, Skel Radiol, 14, pp. 95-98, (1985)
[4]  
Catterall A., Pringle J., Byers P.D., Fulford G.E., Kemp H., Dolman C.L., Bell H.M., McKibbin B., Ralis Z., Jensen O.M., Lauritzen J., Ponseti I.V., Ogden J., A review of the morphology of Perthes’ disease, J Bone Joint Surg [Br], 64, pp. 269-275, (1982)
[5]  
Coleman B.G., Kressel H.Y., Dalinka M.K., Scheibler M.L., Burk D.L., Cohen E.K., Radiographically negative avascular necrosis: Detection with MR imaging, Radiology, 168, pp. 525-528, (1988)
[6]  
Cooper L.S., Chalmers T.C., McCally M., Berrier J., Sacks H.S., The poor quality of early evaluations of magnetic resonance imaging, JAMA, 259, pp. 3277-3280, (1988)
[7]  
Elsig J.P., Exner G.U., Von Schulthess G.K., Weitzel M., False-negative magnetic resonance imaging in early stage of Legg-Calv6-Perthes disease, J Pediatr Orthop, 9, pp. 231-235, (1989)
[8]  
Fitzgerald R.H., Berquist T.H., Magnetic resonance imaging, J Bone Joint Surg [Am], 68, pp. 799-801, (1986)
[9]  
Genez B.M., Wilson M.R., Houk R.W., Weiland F.L., Unger H.R., Shields N.N., Rugh K.S., Early osteonecrosis of the femoral head: Detection in high-risk patients with MR imaging, Radiology, 168, pp. 521-524, (1988)
[10]  
Hardcastle P.H., Ross R., Hamalainen M., Mata A., Catterall grouping of Perthes’ disease: An assessment of observer error and prognosis using the Catterall classification, J Bone Joint Surg [Br], 62, pp. 428-431, (1980)