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

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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.

About the authors

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.

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

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