期刊
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B
卷 20, 期 5, 页码 284-286出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/BPB.0b013e3283484bfb
关键词
arthroscopy; hip; multiple epiphyseal dysplasia; spondyloepiphyseal dysplasia
Seven patients (10 hips), five with multiple epiphyseal dysplasia and two with spondyloepiphyseal dysplasia, were studied as to the etiology of a significant change in their baseline symptoms. Patients presented with decreased activity due to increased pain and mechanical symptoms and had a positive impingement test on physical examination. Three patients had a sudden increase in pain during normal walking and had subsequent difficulty with weight bearing. Arthrotomy or arthroscopy was used to identify the intra-articular pathology. Findings included loose bodies, chondromalacia, and labral pathology. Chondral avulsion fractures were found in the three patients who had a sudden increase in symptoms. Significant intra-articular pathology can develop in patients with multiple epiphyseal dysplasia or spondyloepiphyseal dysplasia. J Pediatr Orthop B 20:284-286 (C) 2011 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.
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