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Titolo:
US OF THE PAINFUL HIP IN CHILDHOOD - DIAGNOSTIC-VALUE OF CARTILAGE THICKENING AND MUSCLE ATROPHY IN THE DETECTION OF PERTHES-DISEASE
Autore:
ROBBEN SGF; MERADJI M; DIEPSTRATEN AFM; HOP WCJ;
Indirizzi:
UNIV ROTTERDAM HOSP,SOPHIA CHILDRENS HOSP,DEPT PEDIAT RADIOL,DR MOLEWATERPLEIN 60 NL-3015 GJ ROTTERDAM NETHERLANDS UNIV ROTTERDAM HOSP,SOPHIA CHILDRENS HOSP,DEPT PEDIAT ORTHOPED SURG NL-3015 GJ ROTTERDAM NETHERLANDS ERASMUS UNIV,DEPT EPIDEMIOL & BIOSTAT NL-3000 DR ROTTERDAM NETHERLANDS
Titolo Testata:
Radiology
fascicolo: 1, volume: 208, anno: 1998,
pagine: 35 - 42
SICI:
0033-8419(1998)208:1<35:UOTPHI>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
CAPITAL FEMORAL EPIPHYSIS; TRANSIENT SYNOVITIS; SKELETAL-MUSCLE; ULTRASOUND EXAMINATION; JOINT EFFUSION; IRRITABLE HIP; CHILDREN; ULTRASONOGRAPHY; SONOGRAPHY; ARTHROSONOGRAPHY;
Keywords:
BONES, NECROSIS; CARTILAGE; CARTILAGE, US; HIP, DISEASES; HIP, US; JOINTS, FLUID; MUSCLES, US;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
54
Recensione:
Indirizzi per estratti:
Citazione:
S.G.F. Robben et al., "US OF THE PAINFUL HIP IN CHILDHOOD - DIAGNOSTIC-VALUE OF CARTILAGE THICKENING AND MUSCLE ATROPHY IN THE DETECTION OF PERTHES-DISEASE", Radiology, 208(1), 1998, pp. 35-42

Abstract

PURPOSE: To evaluate the combined use of several ultrasonography (US)criteria in the detection of Perthes disease. MATERIALS AND METHODS: In a prospective study, 144 consecutive children with a painful hip underwent US. The thicknesses of the (a) anterior recess of the joint capsule, (b) cartilage of the femoral head, and (c) quadriceps muscle were assessed. Sixty-eight children with no symptoms, the control group,were also examined. RESULTS: The final diagnosis was transient synovitis (n = 58), Perthes disease (n = 21), slipped capital femoral epiphysis (SCFE; n = 5), or miscellaneous (n = 6). Fifty-four patients had no US or radiographic abnormalities, and symptoms disappeared during follow-up. The anterior recess in patients and control subjects (P < .001). Patients with Perthes disease showed significant cartilage thickening in the symptomatic hip compared with the other patients and control subjects (P < .001). Patients with Perthes disease and patients withSCFE showed significant atrophy of the ipsilateral quadriceps muscle compared with all other groups (P < .001). The combined use of these US criteria for the diagnosis of Perthes disease resulted in a positivepredictive value of 95%, a negative predictive value of 95%, a sensitivity of 71%, and a specificity of 99%.

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Documento generato il 29/09/20 alle ore 14:15:07