Minihane Keith P, Grayhack John J, Simmons Todd D, Seshadri Roopa, Wysocki Robert W, Sarwark John F
Children's Memorial Hospital, Chicago, Illinois, USA.
Am J Orthop (Belle Mead NJ). 2008 Sep;37(9):E155-8; discussion E158.
Infants with congenital muscular torticollis (CMT) are at increased risk for developmental dysplasia of the hip (DDH), which has led to increased use of diagnostic procedures. Our goal in this study was to establish indications for imaging the hips of infants presenting with CMT. We reviewed the cases of 292 patients with the diagnosis of CMT, 16 of whom were found to have DDH. Each patient with DDH had an abnormal clinical hip examination. Our study results demonstrate that, despite the association of these disorders, an infant presenting with CMT does not require routine hip imaging in light of a normal clinical hip examination. The coexistence rate for CMT and DDH requiring treatment is 4.5%, which is lower than the commonly accepted 20%.
患有先天性肌性斜颈（CMT）的婴儿发生发育性髋关节发育不良（DDH）的风险增加，这导致诊断性检查的使用增加。我们在本研究中的目标是确定对患有CMT的婴儿进行髋关节成像的指征。我们回顾了292例诊断为CMT的患者病例，其中16例被发现患有DDH。每例患有DDH的患者临床髋关节检查均异常。我们的研究结果表明，尽管这些疾病有关联，但鉴于临床髋关节检查正常，患有CMT的婴儿不需要进行常规髋关节成像。需要治疗的CMT和DDH的共存率为4.5%，低于普遍认可的20%。
