儿童髋关节剥脱性骨软骨炎

Osteochondritis dissecans of the hip in children: a report of 4 cases

目的 探讨儿童髋关节剥脱性骨软骨炎的临床特点 ,提高诊治水平 ,避免误诊误治。方法 对 4例患儿 ,通过其临床表现、影像学检查、手术及病检结果作回顾性研究。结果 4例均经手术及病检才最后确诊 ,手术取除游离骨片 ,其中 1例行髋臼重建术 ,均获临床治愈。随访 1～ 6年无复发。结论 髋关节剥脱性骨软骨炎也可发生在儿童期 ,如能提高警惕 ,尽早确诊 ,恰当治疗 ,疗效满意 ,但远期疗效尚有待时间考验。

Objective To study the clinical features of osteochondritis dissecans and improve the diagnosis. Methods The clinical, radiological, operative and histological features of four patients (M∶F=3∶1, age range: 4～12 years) with osteochondritis dissecans were reviewed. Results Loose bodies were removed from the hip joints in all 4 patients. Diagnosis was confirmed by pathological examination. One underwent acetabular reconstruction. The patients recovered and were followed-up for 1 to 6 years with no recurrence.Conclusions Osteochondritis dessecans of the hip affect both adults and children. Satisfactory results can be expected from early diagnosis and treatment.