Exner G U, Schreiber A
Orthopädische Universitätsklinik Zürich.
Schweiz Rundsch Med Prax. 1992 Apr 28;81(18):586-91.
In the orthopedic practice, the hip joint is of special importance at all ages. For the general practitioner and the pediatrician are those disorders of the hip of high importance, for which early diagnosis and initiation of treatment is critical for prognosis. The following disorders should be looked for in priority, if symptoms indicate a possible affection of hip: congenital dysplasia and dislocation of the hip, coxitis, slipped capital femoral epiphysis, and tumors. One should always be aware that especially in children disease of the hip need not necessarily present with symptoms directly located within the region of the hip. Especially the child often complains only about knee or vague leg pain, while having a disorder of the hip; therefore, the cause of any pain should always also be looked for proximal to the structure, where the pain may be localized by the patient.
在骨科临床中,髋关节在各个年龄段都具有特殊重要性。对于全科医生和儿科医生而言,髋关节的这些病症至关重要,早期诊断和开始治疗对预后至关重要。如果症状表明髋关节可能受到影响,应优先排查以下病症:先天性髋关节发育不良和脱位、髋关节炎、股骨头骨骺滑脱以及肿瘤。必须始终牢记,尤其是在儿童中,髋关节疾病不一定直接表现为髋关节区域的症状。特别是儿童在患有髋关节疾病时,往往仅抱怨膝盖疼痛或腿部疼痛模糊不清;因此,对于任何疼痛的原因,也应始终在患者可能定位疼痛的结构近端进行查找。