若年性変形性骨軟骨炎
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- act as the coxswain, in a boat race
PrepTutorEJDIC
- =coxswain
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- 1. 離断性骨軟骨炎(OCD):臨床症状および診断 osteochondritis dissecans ocd clinical manifestations and diagnosis [show details]
… Juvenile OCD is associated with high activity level in school-age children and adolescents which favors repetitive… dissection; however, throughout the years, inflammation was never revealed, making the name osteochondritis a misnomer. Over the next 75 years, multiple physicians noted similar lesions throughout the …
- 2. 離断性骨軟骨炎(OCD)のマネージメントmanagement of osteochondritis dissecans ocd [show details]
…warranted for children with juvenile OCD that have a loose foreign body (Stage IV) or have not responded to four to six months of nonoperative therapy. A significant proportion of OCD lesions in children and adolescents …
- 3. 活動的な小児や骨格発達の未成熟な青年の足首痛:原因の概要ankle pain in the active child or skeletally immature adolescent overview of causes [show details]
… condition in children and young adolescents. Pain at the insertion of the Achilles tendon at this age may be an important marker for inflammatory enthesitis (eg, juvenile idiopathic… injury, who have bony tenderness or deformity on examination, or who demonstrate findings of osteochondritis dissecans (OCD; eg, talar tenderness or joint effusion), stress fractures, sinus tarsi syndrome …
- 4. 小児や骨格発達の未成熟な青年の慢性膝関節痛または損傷に対するアプローチapproach to chronic knee pain or injury in children or skeletally immature adolescents [show details]
… swelling suggests structural conditions (eg, osteochondritis dissecans), while persistent swelling is more characteristic of underlying systemic diseases (eg, juvenile idiopathic arthritis). Do you have any …
- 5. 滑膜ひだ症候群(タナ障害)plica syndrome [show details]
… plica with subsequent fibrosis . Intraarticular abnormalities, such as loose foreign bodies osteochondritis dissecans, or inflammatory arthritis may also inflame a plica. The resulting thickening and loss …clinical criteria for making this diagnosis. However, it is described in a variety of age groups from children to adults . Many experts suggest that plica syndrome is an under-diagnosed cause of anterior knee …
English Journal
- [Osteochondrosis deformans coxae juvenilis (Legg-Calvé-Perthes disease) in the MR tomogram: diagnosis and follow-up assessment correlated with x-rays and skeletal scintigraphy].
- Ranner G1.
- RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin.Rofo.1990 Aug;153(2):124-30.
- 23 children with Legg-Perthes' disease (25 affected hips) were prospectively evaluated via MRI, bone scintigraphy and conventional radiography both at first presentation and during follow-ups. For the early diagnosis of LCPD MRI was similar as sensitive as isotope bone scan and more precise than con
- PMID 2168065
- [Complex studies of osteochondrosis deformans coxae juvenilis (Calve-Legg-Perthes). III. Scintigraphic and arteriographic studies].
- Siegling CW, Ritter H, Endert G.
- Beiträge zur Orthopädie und Traumatologie.Beitr Orthop Traumatol.1985 Dec;32(12):592-600.
- PMID 4096712
- [Complex studies in osteochondrosis deformans coxae juvenilis (Calvé-Legg-Perthes). I. Laboratory chemical studies].
- Siegling CW.
- Beiträge zur Orthopädie und Traumatologie.Beitr Orthop Traumatol.1984 May;31(5):243-7.
- PMID 6743204
Related Links
- osteochondritis [os″te-o-kon-dri´tis] inflammation of bone and cartilage. osteochondritis defor´mans juveni´lis osteochondritis of the capitular head of the epiphysis of the femur. osteochondritis defor´mans juveni´lis dor´si osteochondrosis of vertebrae.
- Research from JAMA Pediatrics — OSTEOCHONDRITIS DEFORMANS COXAE JUVENILIS — Familial Demonstration 1 Microsoft Bing | Sign In | Create an Account We're unable to sign you in at this time. Please try again in a ...
★リンクテーブル★
[★]
- 英
- Perthes disease
- 同
- Perthes病
- レッグ-カルヴェ-ペルテス病 Legg-Calve-Perthes disease LCPD、レッグ・ペルテス病 Legg-Perthes病 Legg-Perthes disease
- 若年性変形性骨軟骨炎 osteochondritis deformans coxae juvenilis
- 関
概念
疫学
- SOR.522
- 発生頻度:2万人に1人
- 好発年齢:4-7歳(医学辞書) 3-12歳までありうるが6-7歳に多発。
- 男子に多い(男女比=5:1)
- 片側性が多い。両側性は15-20%
- 10%の例に家族性のものが認められる(uptodate.2)。
病因
- 不明(軟骨代謝障害、骨頭への荷重、外傷、炎症などが提案されている)
症状
- 股関節痛。大腿から膝関節の疼痛を訴えることがある。
身体所見
検査
- 股関節単純X線写真:初期(骨端核が壊死に陥ってから1ヶ月)には骨に変化ない。滑膜炎が見られるために関節液が貯留して骨頭の外側偏位が生じ、内側の関節裂隙がやや広くなる。これ以降の壊死期・硬化期では骨端核が圧潰され骨頭が扁平化する。(SOR.524)
参考
uptodate
- 1. [charged] 小児における股関節痛の概要 - uptodate [1]
- 2. [charged] 小児における跛行の原因に関する概要 - uptodate [2]
[★]
- 英
- osteochondritis deformans coxae juvenilis
- 関
- ペルテス病
[★]
骨軟骨炎、骨端症
- 関
- Osgood-Schlatter disease、osteochondrosis
[★]
若年性の
- 関
- juvenile