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Destructive synovitis in contralateral Perthes' disease. A report of 2 cases
L Vanpaemel1, P J Helders, W Kuis
1Department of Pediatric Orthopedics, University Hospital for Children and Youth, Het Wilhelmina Kinderziekenhuis, Utrecht, The Netherlands.
Acta Orthopaedica Scandinavica
|December 1, 1994
Abstract:
2 boys had unilateral Perthes' disease at the age of 5 years. After 6 and 7 years, respectively, both patients developed contralateral femoral head necrosis with rapid destruction leading to ankylosis of the hip. Histology of the synovium showed nonspecific synovitis. Both patients fulfilled criteria for oligo-articular juvenile chronic arthritis (JCA). The association with Perthes' disease suggests a common etiology.