RESUMO
Patients with transient synovitis of the hip were found to have a bone age delay similar to the one found in patients in the active stages of Perthes disease. This finding led to a study on the relationship between the bone and chronologic ages in patients affected by either disease, in activity, and in the residual stage through to the end of growth. Bone age of all patients was established by means of a radiograph of both wrists and hands and the quantified data were compared with the Greulich and Pyle Atlas. All the patients in the active stage of both diseases revealed a bone age delay with different values and different time evolution but with some degree of overlapping between the thirtieth and seventieth months of age. The bone age delay persisted after healing of the respective disease and tended to diminish with time in an erratic way until the age of puberty when the bone and chronologic ages assume similar values. Transient synovitis of the hip usually occurs in only one hip.
Assuntos
Osso e Ossos/patologia , Articulação do Quadril/patologia , Doença de Legg-Calve-Perthes/patologia , Sinovite/patologia , Determinação da Idade pelo Esqueleto , Criança , Feminino , Humanos , MasculinoRESUMO
The author reports on two cases of congenital dislocation of the knees submitted to orthopaedic treatment. The early treatment and the relatively benign nature of the main deformity and of the associated phenomena appear to have contributed to the excellent results obtained after a six year follow-up. A review of the literature on the subject is given.
Assuntos
Luxações Articulares/congênito , Articulação do Joelho/anormalidades , Pré-Escolar , Feminino , Seguimentos , Luxação Congênita de Quadril/terapia , Humanos , Lactente , Recém-Nascido , Luxações Articulares/terapia , Masculino , Aparelhos OrtopédicosRESUMO
Seventy-five hips affected by Legg-Calvé-Perthes disease were reviewed. Three therapeutic groups were defined: conservative treatment, marrow emptying of the femoral neck, and varus derotation femoral osteotomy. Results were analyzed according to head-at-risk concept. Patients with head not at risk had better results regardless of treatment. Results in other groups were worse, but improved significantly with varus derotation femoral osteotomy. In children greater than 9 years of age, the results were almost invariably poor, irrespective of head-at-risk designation.
