ULTRASONOGRAPHY OF THE HIP JOINT EXAMINATION HIP JOINT IN THE ASSESSMENT OF THE EFFECTIVENESS OF TREATMENT IN CHILDREN WITH LEGG-CALVE-PERTHES DISEASE AND HIP OSTEOARTHRITIS

Cover Page
  • Authors: Tikhonenko T.I.1, Vybornov D.Y.2,3, Gurevich A.I.3, Lozovaya Y.I.2,3
  • Affiliations:
    1. FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation
    2. N. I. Pirogov Russian National Medical Institute
    3. Filatov Pediatric Clinical Hospital №13
  • Issue: Vol 2, No 3 (2014)
  • Pages: 68-75
  • Section: Articles
  • URL: https://journals.eco-vector.com/turner/article/view/284
  • DOI: https://doi.org/10.17816/PTORS2368-75

Abstract


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.

Tatyana Ivanovna Tikhonenko

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

Email: tikhonenko_turner@mail.ru
MD, PhD, senior research associate of the department of arthrogryposis

Dmitry Yurievich Vybornov

N. I. Pirogov Russian National Medical Institute; Filatov Pediatric Clinical Hospital №13

MD, PhD, DMedSc, professor of the chair of pediatric surgery RSRMU n. a. N. I. Pirogov, orthopedic and trauma surgeon of Pediatric City Clinical Hospital № 13 n. a. Filatov.

Anzhelika Iosifovna Gurevich

Filatov Pediatric Clinical Hospital №13

MD, PhD, DMedSc, professor, chief of the department of ultrasound diagnosis

Yulia Ivanovna Lozovaya

N. I. Pirogov Russian National Medical Institute; Filatov Pediatric Clinical Hospital №13

MD, PhD, assistant of the chair of pediatric surgery RSRMU n. a. N. I. Pirogov, orthopedic and trauma surgeon of Pediatric City Clinical Hospital № 13 n. a. Filatov.

  1. Алексеева Е. И., Литвицкий П. Ф. Ювенильный ревматоидный артрит: этиология, патогенез, клиника, алгоритмы диагностики и лечения. М.: «Веди», 2007. 359 с.
  2. Барсуков Д. Б. Болезнь Пертеса. Terra Medica Nova. 2009. № 3. С. 24-30
  3. Гуревич А. Б., Ватолин К. В., Шмиткова Е. В. и др. Использование современных методов визуализации в исследовании тазобедренного сустава у здоровых детей. Медицинская визуализация. М.: «Видар», 2011. № 2. С. 79-85.
  4. Малахов О. О. Компенсация функции тазобедренного сустава после хирургического лечения болезни Пертеса: Автореф. дис.. канд. мед. наук. М., 2008. 22 с.
  5. Кузнечихин Е. П., Кузин А. С., Моисеев С. Н., Семыкин Г. И. Ранняя диагностика болезни Легга - Кальве - Пертеса. Актуальные вопросы детской травматологии и ортопедии. Материалы научнопрактической конференции детских ортопедов-травматологов. СПб., 1993. С. 106-107
  6. Хисаметдинова Г. Р. Возможности ультрасонографии с допплерографией при болезни Пертеса, асептических некрозах головки бедренной кости другого генеза и транзиторном синовите тазобедренного сустава у детей: Автореф. дис.. канд. мед. наук. М., 2007. 22 с
  7. Batory J. Opinions on and comparative observations about the etioligy of Legg-Calve-Perthes disease. Arch. Orthop. Traum. Surg.1982;100:151-162.
  8. Johnson E.O., Soultanis K., Soucacos P.N. Vascular anatomy and microcirculation of skeletal zones vulnerable to osteonecrosis: vascularization of the femoral head. OrthopClin North Am. 2011;35:285-291
  9. Perry D.C., Green D.J., Bruce C.E. et al. Abnormalities of vascular structure and function in children with Perthes disease. Pediatrics 2012 Jul;130(1):126-31.
  10. Trueta J. The normal vascular anatomy of the human femoral head during growth. J. Bone Jt Surg. 1997; 39(B):358-394.

Views

Abstract - 567

PDF (Russian) - 445

PlumX

Comments on this article

View all comments

Copyright (c) 2014 Tikhonenko T.I., Vybornov D.Y., Gurevich A.I., Lozovaya Y.I.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.