摘要
运动负荷是骨生长、发育、成熟的重要影响因素。儿童及青少年时期患髋关节疾患并造成髋功能障碍 ,易导致患侧肢体骨发育不良及骨质疏松。我们报告 30例单侧髋关节受累病例 ,其中男性 2 0例 ,女性 10例 ;患病时年龄 2～ 2 0岁 ,从患病到随访时的病程 2～ 49年。原始疾病 :化脓髋 16例 ,髋结核 10例 ,其它 4例。随访时局部发现 ,髋强直 18例 ,髋活动受限 12例 ,双下肢不等长 2 5例 ,托马氏征阳性 2 2例 ;X线发现 ,髋原位强直 10例 ,髋移位强直或脱位 13例 ,髋破坏 7例 ;患侧坐、耻骨发育不良 18例 ,患侧股骨发育不良 2 2例 ;30例均有骨质疏松。我们陈述了运动不足性骨发育不良与骨质疏松发生的基础 ,认为本组病例的骨发育不良与骨质疏松 ,是由疾病所致患侧肢体负重及运动负荷减少所致 ,指出及时。
Athletic load is an important factor that has an influence on the growth, development and mature of skeleton. In patients who had the functional disorder of hip joint resulting from hip diseases during their teen ages, skeletal dysplasia and osteoporosis would occur. The present paper reported 30 cases of unilateral hip disorder. The patients were 20 men and 10 women whose age ranged from 2 to 20 years. The course of disease lasted 2 to 49 years. Their primary diseases included suppurant hip arthritis (16cases), tuberculous arthritis of hip (10 cases), and others (4 cases). The follow up study revealed fixed hip joint in 18 cases, positive Thomas sign in 22 cases, limited motion of hip joint in 12 cases, and unequal length of lower extremities in 25 cases; at the same time X ray films showed ankylosis of hip at normal position in 10 patients, dislocation with ankylosis of hip in 13 patients, arthritic disorder of hip in 7 patients, skeletal dysplacia of ischium and pubis in 18 patients, and skeletal dysplasia of femur in 22 patients All patients had osteoporosis. A discussion about the basic mechanism for skeletal dysplasia and osteoporosis following inadequate athletic load is presented. We believe that the skeletal dysplasia and osteoporosis in our group were caused by the diseases that led to inadequate athletic load. Therefore it is important to provide a thorough treatment and help the patients to their strength to be loaded in time.
出处
《生物医学工程学杂志》
EI
CAS
CSCD
北大核心
2000年第3期366-368,共3页
Journal of Biomedical Engineering
