Femoral head necrosis in juvenile chronic arthritis.

Radiographic signs of ischemic necrosis of the femoral head in terms of abnormal epiphysis and caput indices were found in 30/72 hips in 36 children with hip pain or limitation of motion among 206 children, consecutively admitted during 15 months because of juvenile chronic arthritis. Nine out of 10 hips with obvious signs of femoral head necrosis showed a sclerotic rim at the base of the femoral neck, confirming an earlier episode of ischemic damage to the epiphysis and growth plate. Femoral head necrosis in children with juvenile chronic arthritis seems to be more common than previously reported, and may be caused by circulatory disturbance secondary to increased intraarticular pressure due to synovitis and/or effusion, or to treatment with passive extension of the hip. This should be considered in the treatment and the follow-up of these children.

[1]  B. Ansell,et al.  SOFT‐TISSUE RELEASE OF THE KNEE IN CHILDREN WITH JUVENILE CHRONIC ARTHRITIS , 1986, The Journal of bone and joint surgery. British volume.

[2]  D. Resnick.  Diagnosis of Bone and Joint Disorders , 1987 .

[3]  N. Egund,et al.  Hemarthrosis in undisplaced cervical fractures. Tamponade may cause reversible femoral head ischemia. , 1986, Acta orthopaedica Scandinavica.

[4]  L. Lidgren,et al.  Sonography, arthroscopy, and intracapsular pressure in juvenile chronic arthritis of the hip. , 1986, Acta orthopaedica Scandinavica.

[5]  B. Ansell,et al.  Total hip replacement in children with juvenile chronic arthritis. , 1986, The Journal of bone and joint surgery. British volume.

[6]  N. Egund,et al.  Intracapsular pressure in transient synovitis of the hip. , 1985, Acta orthopaedica Scandinavica.

[7]  H. Pettersson,et al.  Transient ischaemia of the proximal femoral epiphysis in the child. Interpretation of bone scintimetry for diagnosis in hip pain. , 1985, Acta orthopaedica Scandinavica.

[8]  B. Ansell,et al.  Developmental aspects of the hip in juvenile chronic arthritis. A radiological assessment. , 1984, Scandinavian journal of rheumatology.

[9]  S. Kuei,et al.  Articular cartilage deformation following experimental synovitis in the rabbit hip , 1984, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[10]  G. Simons,et al.  Sequential radionuclide bone imaging in avascular pediatric hip conditions. , 1983, Clinical orthopaedics and related research.

[11]  R. Kloiber,et al.  Bone scintigraphy of hip joint effusions in children. , 1983, AJR. American journal of roentgenology.

[12]  J. Bülow,et al.  Blood flow in the juvenile hip in relation to changes of the intraarticular pressure. An experimental investigation in dogs. , 1983, Acta orthopaedica Scandinavica.

[13]  L. Lidgren,et al.  Synovectomy of the hip in juvenile chronic arthritis. , 1982, The Journal of bone and joint surgery. British volume.

[14]  L. Lidgren,et al.  Arthroscopy of the Hip in Juvenile Chronic Arthritis , 1981, Journal of pediatric orthopedics.

[15]  S. Wientroub,et al.  The sagging rope sign in Perthes' disease and allied disorders. , 1981, The Journal of bone and joint surgery. British volume.

[16]  B. Neal,et al.  Corticosteroids and avascular necrosis of the femoral head in childhood , 1975, Australian paediatric journal.

[17]  J. Ogden,et al.  Changing patterns of proximal femoral vascularity. , 1974, The Journal of bone and joint surgery. American volume.

[18]  W. H. Bickel,et al.  Corticosteroid-induced avascular necrosis. A clinical study of seventy-seven patients. , 1971, The Journal of bone and joint surgery. American volume.

[19]  B. Ansell,et al.  Hip involvement in juvenile chronic polyarthritis. , 1970, Annals of the rheumatic diseases.

[20]  I. Isdale.  Hip disease in juvenile rheumatoid arthritis. , 1970, Annals of the rheumatic diseases.

[21]  Å. Ahlberg.  Haemophilia in Sweden. VII. Incidence, treatment and prophylaxis of arthropathy and other musculo-skeletal manifestations of haemophilia A and B. , 1965, Acta orthopaedica Scandinavica. Supplementum.

[22]  C. F. Woodhouse.  Dynamic influences of vascular occlusion affecting the development of avascular necrosis of the femoral head. , 1964, Clinical orthopaedics and related research.

[23]  I. Nilsson,et al.  Haemophilia in Sweden. VI. Treatment of haemophilia A with the human antihaemophilic factor preparation (fraction I--0). , 2009, Acta medica Scandinavica. Supplementum.

[24]  J. Holt,et al.  Roentgenologic manifestations of juvenile rheumatoid arthritis. , 1962, The American journal of roentgenology, radium therapy, and nuclear medicine.

[25]  J. Trueta,et al.  The vascular contribution to osteogenesis. III. Changes in the growth cartilage caused by experimentally induced ischaemia. , 1960, The Journal of bone and joint surgery. British volume.

[26]  J. Trueta.  The normal vascular anatomy of the human femoral head during growth. , 1957, The Journal of bone and joint surgery. British volume.

[27]  Stig Jonsäter.  Coxa Plana: A Histo-Pathologic and Arthrografic Study , 1953 .

[28]  C. H. Herndon,et al.  LEGG-PERTHES DISEASE , 1950 .