Napiontek M, Rzymski K
Clinic of Pediatric Orthopaedics, Academy of Medicine, Poznań, Poland.
Rofo. 1991 Dec;155(6):527-31. doi: 10.1055/s-2008-1033311.
A new term called "femoral head anteposition" to describe the clinical appearance of a hip operated on because of CDH and suspected of anterior dislocation, has been introduced. CT scans of both the horizontal and sagittal planes of 22 hips suspected of iatrogenic anterior dislocation were made from 22 children. These had been operated on because of CDH by the open reduction method with derotation varus osteotomy of the femur and transiliac osteotomy by Dega. An evaluation of the CT scans combined with clinical examination allowed the differentiation of the homogeneous clinical appearance from the "anteposition". It was then possible to establish one or several coexisting reasons to the situation. These were: anterior dislocation of the hip, coxa magna after avascular necrosis, gluteal muscle fibrosis or periarticular ossifications.
一个名为“股骨头前位”的新术语被引入，用于描述因先天性髋关节脱位（CDH）接受手术且疑似前脱位的髋关节的临床表现。对22名儿童疑似医源性前脱位的22个髋关节进行了水平和矢状面的CT扫描。这些儿童因CDH接受了开放复位手术，包括股骨旋转内翻截骨术和Dega氏髂骨截骨术。结合临床检查对CT扫描进行评估，可将均匀的临床表现与“前位”区分开来。进而有可能确定导致这种情况的一个或多个并存原因。这些原因包括：髋关节前脱位、缺血性坏死后的大转子、臀肌纤维化或关节周围骨化。
