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

Tatyana Ivanovna Tikhonenko; Dmitry Yurievich Vybornov; Anzhelika Iosifovna Gurevich; Yulia Ivanovna Lozovaya

doi:10.17816/PTORS2368-75

Pediatric Traumatology, Orthopaedics and Reconstructive Surgery ›› 2014, Vol. 2 ›› Issue (3) : 68 -75. DOI: 10.17816/PTORS2368-75

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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.

Keywords

Legg-Calve-Perthes disease / ultrasonography / hip joint / Doppler

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Tatyana Ivanovna Tikhonenko, Dmitry Yurievich Vybornov, Anzhelika Iosifovna Gurevich, Yulia Ivanovna Lozovaya. 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. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery, 2014, 2(3): 68-75 DOI:10.17816/PTORS2368-75

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