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[18岁以上先天性髋关节脱位保守治疗患者的临床、放射学及个人状况]

[Clinical, radiological and personal condition of patients over 18 year of age with congenital hip dislocation treated conservatively].

作者信息

Lempicki A, Wierusz-Kozłowska M, Piskorski Z, Markuszewski J

机构信息

Katedra i Klinika Ortopedii, Akademia Medyczna im. K. Marcinkowskiego w Poznaniu.

出版信息

Chir Narzadow Ruchu Ortop Pol. 2000;65(3):241-8.

Abstract

The paper presents the clinical, radiological and personal condition of 121 patients (162 hip joints) age 18 to 32 years (mean age 24 years) treated during childhood because of congenital hip dislocation. In 34% of the cases slight and moderate pain was reported, but no other symptoms were found during follow-up. Radiological condition was assessed as very good in 34% of the cases, good in 48%, satisfactory in 6% and unsatisfactory in 5%. Structural changes in spongy bone, which may be early signs of degenerative disease were found in 3 hips. These changes were visible on X-ray films as a sign of increased density in the upper rim of the acetabulum. The assessed patients lead a normal life, work, often doing a job that is inappropriate for people who should take special care of their hip joints.

摘要

本文介绍了121例(162个髋关节)18至32岁(平均年龄24岁)因先天性髋关节脱位在儿童期接受治疗的患者的临床、放射学及个人状况。34%的病例报告有轻微和中度疼痛,但随访期间未发现其他症状。放射学状况评估为非常好的占34%,良好的占48%,满意的占6%,不满意的占5%。在3个髋关节中发现了松质骨的结构变化,这可能是退行性疾病的早期迹象。这些变化在X线片上表现为髋臼上缘密度增加的迹象。被评估的患者过着正常生活、工作,经常从事的工作对那些应特别注意髋关节的人来说并不合适。

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