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[髋关节自发性脱位。两例报告]

[Voluntary dislocation of the hip. Report of two cases].

作者信息

Fuentes Nucamendi Marcos Alfonso, Sevilla González Maria Alejandra, Sierra Campuzano Raúl

机构信息

Hospital General de México O.D.

出版信息

Acta Ortop Mex. 2008 Sep-Oct;22(5):329-34.

Abstract

Case 1: We present a 5 year-old female patient with ligament laxity who started on August 1992 at 4 years of age when doing voluntary medial rotation and adduction of the hip, she presents with a posterior dislocation of the hip joint and voluntary reduction, with no more clinical data. Later on she realizes voluntary dislocation of the hip from three to five times a week, without pain or any clinical findings. She was evaluated by the Genetics Department who isn't able to integrate a syndrome. X-ray findings on the AP view show a right hip with a posterior dislocation, and a normal left hip. Case 2: We present a 7 year-old male patient who started on August 2001 when he suffered a fall from his own height over his right side, and presented an asymptomatic anterior dislocation of the right hip. From this moment on he presented multiple events of involuntary dislocation of the right hip. X-ray findings on the AP view show an anterior dislocation of the right hip. A Ponseti cast was used over night and the patients were educated to not dislocate the hip. They received yearly follow up until August 2004, with no more dislocations of the hip joint. The conservative treatment plan was effective as a definite treatment.

摘要

病例1:我们报告一名5岁女性患者,有韧带松弛,于1992年8月发病,4岁时在进行髋关节主动内旋和内收时,出现髋关节后脱位并自行复位,无更多临床资料。此后她每周出现3至5次髋关节主动脱位,无疼痛或任何临床体征。遗传学部门对其进行了评估,但未能确诊为某种综合征。前后位X线片显示右髋关节后脱位,左髋关节正常。病例2:我们报告一名7岁男性患者,于2001年8月发病,当时他从自身高度右侧摔倒,出现右髋关节无症状前脱位。此后他多次出现右髋关节非自主性脱位。前后位X线片显示右髋关节前脱位。使用庞塞蒂石膏固定过夜,并告知患者不要使髋关节脱位。对他们进行了年度随访,直至2004年8月,未再发生髋关节脱位。保守治疗方案作为确定性治疗是有效的。

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