Ультразвуковое исследование тазобедренных суставов в оценке эффективности лечения детей с болезнью Легга-Кальве-Пертеса и коксартритом
2014
We performed dynamic hip doppler ultrasonography in children with Legg-Calve-Perthes disease (LCPD) in order to determine the effectiveness of the conservative and surgical treatment. The study included children aged from 3 to 7 years old with LCPD who had pain in the hip joints during admission. We assessed the structural changes in the head of the femur and the hip joint (B-mode), when the Doppler study analyzed diameter of enveloping hip vessels, blood velocity and resistance index. The study found that severe pain and contracture of the hip during admission appeared as a manifestation of concomitant hip osteoarthritis. On admission all patients had signs of arterial spasm and venous stasis in the hip joints, which determined the administration of a comprehensive arthrologic, osteogenesis stimulating and angioprotective therapy, according to the data of dynamic ultrasound.
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