MEYER'S DYSPLASIA IN THE DIFFERENTIAL DIAGNOSIS OF HIP PAIN IN CHILDHOOD.

IF 0.5 4区 医学 Q4 ORTHOPEDICS
Acta Ortopedica Brasileira Pub Date : 2024-10-28 eCollection Date: 2024-01-01 DOI:10.1590/1413-785220243205e278967
Fabio Carramão Narimatsu, Pedro Alcantara Barroso, Alceu José Fornari Gomes Chueire, Paulo Humberto Mem Martendal Costa, Miguel Akkari, Claudio Santili
{"title":"MEYER'S DYSPLASIA IN THE DIFFERENTIAL DIAGNOSIS OF HIP PAIN IN CHILDHOOD.","authors":"Fabio Carramão Narimatsu, Pedro Alcantara Barroso, Alceu José Fornari Gomes Chueire, Paulo Humberto Mem Martendal Costa, Miguel Akkari, Claudio Santili","doi":"10.1590/1413-785220243205e278967","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study reviews the literature and shares clinical experiences, emphasizing its diagnostic relevance in children under 5 years of age.</p><p><strong>Method: </strong>We examined 169 cases of Legg-Calvé-Perthes disease (LCPD) in patients in this age group. We analyzed medical records and images, observing variables such as age, gender, complaints, treatment, and outcomes.</p><p><strong>Results: </strong>We studied 20 patients with Meyer's dysplasia, representing 1.4% of LCPD cases in children. The majority were boys (85%) with symptom onset at 38 months. Claudication (25%) and mild pain (40%) were the main complaints. Radiographic findings showed a smaller, granular, or asymmetric nucleus. The average follow-up was 6.4 years, with interventional treatment in 5 cases. Most showed complete reossification and centralization of the femoral head.</p><p><strong>Conclusion: </strong>Meyer's dysplasia is a rare condition that affects the hip in children under 5 years of age, predominantly in boys. It usually does not require intensive treatment; clinical and radiological follow-up is sufficient. However, it is important to be aware of possible unfavorable progressions, requiring more aggressive treatment to prevent complications. <b><i>Level of evidence III, Retrospective comparative study.</i></b></p>","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":null,"pages":null},"PeriodicalIF":0.5000,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530216/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Ortopedica Brasileira","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1590/1413-785220243205e278967","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0

Abstract

Objective: This study reviews the literature and shares clinical experiences, emphasizing its diagnostic relevance in children under 5 years of age.

Method: We examined 169 cases of Legg-Calvé-Perthes disease (LCPD) in patients in this age group. We analyzed medical records and images, observing variables such as age, gender, complaints, treatment, and outcomes.

Results: We studied 20 patients with Meyer's dysplasia, representing 1.4% of LCPD cases in children. The majority were boys (85%) with symptom onset at 38 months. Claudication (25%) and mild pain (40%) were the main complaints. Radiographic findings showed a smaller, granular, or asymmetric nucleus. The average follow-up was 6.4 years, with interventional treatment in 5 cases. Most showed complete reossification and centralization of the femoral head.

Conclusion: Meyer's dysplasia is a rare condition that affects the hip in children under 5 years of age, predominantly in boys. It usually does not require intensive treatment; clinical and radiological follow-up is sufficient. However, it is important to be aware of possible unfavorable progressions, requiring more aggressive treatment to prevent complications. Level of evidence III, Retrospective comparative study.

儿童髋关节疼痛鉴别诊断中的梅耶氏发育不良。
目的:回顾文献并分享临床经验:本研究回顾了相关文献并分享了临床经验,强调了该病对 5 岁以下儿童的诊断意义:我们对该年龄组的 169 例 Legg-Calvé-Perthes 病(LCPD)患者进行了研究。我们分析了病历和图像,观察了年龄、性别、主诉、治疗和结果等变量:我们研究了20名迈耶氏发育不良患者,占儿童LCPD病例的1.4%。大多数患者为男孩(85%),发病年龄为38个月。主要症状为跛行(25%)和轻微疼痛(40%)。放射学检查结果显示核较小,呈颗粒状或不对称。平均随访时间为 6.4 年,其中 5 例接受了介入治疗。大多数病例显示股骨头完全再化和集中:结论:迈耶氏发育不良是一种罕见的髋关节疾病,多发于5岁以下儿童,以男孩居多。通常不需要强化治疗,只需进行临床和放射学随访即可。但是,必须注意可能出现的不利进展,需要更积极的治疗以预防并发症。证据等级 III,回顾性比较研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
0.90
自引率
14.30%
发文量
67
审稿时长
25 weeks
期刊介绍: A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信