Lee J, Jarvis J, Uhthoff H K, Avruch L
Division of Orthopaedics, University of Ottawa, Ontario, Canada.
Clin Orthop Relat Res. 1992 Aug(281):48-55.
To study the development of the acetabulum in the early fetal period, 39 embryologic specimens were reviewed in detail. Histologic serial sections were made through 47 hips in the transverse plane. Measurements of acetabular anteversion and femoral head coverage revealed that both parameters depend on the exact level of sectioning. However, when measured at the level of the maximum diameter of the femoral head, they did not show significant variation through the embryonic and early fetal stages (six to 20 weeks). This is in contradistinction to the late fetal period. The hip does remain covered during this early fetal period. Congenital dislocation of the hip is not an early developmental condition. This accounts for the absence of any reports of hip dislocations in the first half of gestation.
为研究胎儿早期髋臼的发育情况,我们详细观察了39个胚胎学标本。在横断面上对47个髋关节进行了组织学连续切片。髋臼前倾和股骨头覆盖度的测量结果显示,这两个参数均取决于切片的精确水平。然而,在股骨头最大直径水平进行测量时,它们在胚胎期和胎儿早期阶段(6至20周)并未表现出显著变化。这与胎儿晚期情况不同。在胎儿早期阶段,髋关节确实保持被覆盖状态。先天性髋关节脱位并非早期发育性疾病。这就解释了为何在妊娠前半期没有任何髋关节脱位的报告。