X-RAY AND ULTRASONOGRAPHICAL CRITERIA OF PREDICTION OF UNFAVOURABLE COURSE OF THE SYNOVITUS OF THE HIP JOINT IN CHILDREN DURING THE INITIAL EXAMINATION

• Main Authors: Сергей Иванович Головкин, Владимир Александрович Уткин, Евгений Михайлович Кравец, Никита Андреевич Шабалдин
• Format: Article
• Language: Russian
• Published: The Publishing House Medicine and Enlightenment 2016-06-01
• Series: Мать и дитя в Кузбассе
• Subjects: тазобедренный сустав у детей; рентгенография и сонография сустава; эпифизарный индекс и эпифизарная асимметрия; прогнозирование асептического некроза головки бедра
• Online Access: http://mednauki.ru/index.php/MD/article/view/28
• ISSN: 1991-010X; 2542-0968

Parameters of Xray and Sonographical examination of 56 children with transitory synovitus of the hip joint have been analyzed. Separately estimated observation in 3 age groups: 2-4 years, 5-7 years and over 7 years. In accordance with the x-ray we have calculated epiphyseal Index (EI) and epiphyseal coefficient. Proposed epiphyseal asymmetry index (EA). In accordance with the ultrasonic examination data, we have defined 3 stages of joint disease. The first stage is characterized with minimal changes in the affected joint, the second stage showed synovitus of joint, the third – with signs of morphological destruction. In case of visible reduction of height of femoral head epiphysis we recommend calculating EI and evaluate EA.