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Titolo:
TRANSIENT SYNOVITIS OF THE HIP - ROLE OF US, SCINTIGRAPHY AND MRI
Autore:
DEPELLEGRIN M; FRACASSETTI D; CIAMPI P;
Indirizzi:
UNIV MILAN,OSPED SAN RAFFAELE,CLIN ORTOPED,VIA OLGETTINA 60 I-20132 MILAN ITALY
Titolo Testata:
Der Orthopade
fascicolo: 10, volume: 26, anno: 1997,
pagine: 858 - 867
SICI:
0085-4530(1997)26:10<858:TSOTH->2.0.ZU;2-9
Fonte:
ISI
Lingua:
GER
Soggetto:
CALVE-PERTHES DISEASE; IRRITABLE HIP; ULTRASOUND EXAMINATION; SEPTIC ARTHRITIS; JOINT EFFUSIONS; PAINFUL HIP; CHILDREN; DIAGNOSIS; ULTRASONOGRAPHY; SONOGRAPHY;
Keywords:
TRANSIENT SYNOVITIS; HIP JOINT; ULTRASOUND; MRI; HIP PAIN;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
57
Recensione:
Indirizzi per estratti:
Citazione:
M. Depellegrin et al., "TRANSIENT SYNOVITIS OF THE HIP - ROLE OF US, SCINTIGRAPHY AND MRI", Der Orthopade, 26(10), 1997, pp. 858-867

Abstract

Between 1990 and 1996, 129 children (mean age 4.8 years) with hip pain were examined consecutively. in group I (n = 100, mean age 4.14 +/- 2.2), transient synovitis of the hip was diagnosed; group II (n = 29, mean age 7.3 +/- 2.1) showed the following diagnoses: Perthes' disease(n = 12), early slipped capital femoral epiphysis (n = 5), Meyer's dysplasia (n = 2), septic arthritis of the hip (n = 2), osteomyelitis ofthe acetabulum (n = 1), abscess of the psoas (n = 1), chondromatosis of the hip joint (n = 1), Ewing's sarcoma of the os pubis (n = 1), hipdysplasia (n = 1). Three patients who had synovitis developed Perthes' disease and were assigned to group II. The efficiency of ultrasound,scintigraphy and MRI as diagnostic tools was tested in the examination of painful hip. A capsular distension was present in 73 cases and showed a significant statistical difference (t-test, P < 0.001) in groupI between affected and unaffected hips. There were no differences in the measurements of the epiphyseal and metaphyseal width in group I between the affected and the nonaffected side (t-test, P = 0.91, P = 0.57) and between the first sonographic evaluation at presentation and atthe follow-up (t-test, P = 0.053, P = 0.75). MRI was performed, because of persistent joint effusion, in 10 cases in group I, and Perthes' disease was excluded. In group II the use of an MRI allowed the diagnosis in 89% of the cases. Sonographic examination, together with X-ray examination and serological testing, represent the first choices in the evaluation of a painful hip at presentation and in the followup of transient synovitis. MRI should always be performed when abnormalities are present at the clinical and sonographic examination, and when the X-ray does not allow a clear diagnosis.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/11/20 alle ore 04:23:15