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[儿童生理性膝内翻及婴儿型布朗特病的X线评估]

[Roentgenographical evaluation of physiological bow-leg and the infantile type of Blount's disease in children].

作者信息

Nakamura M, Satake T, Torisu T, Masumi S

机构信息

Beppu Seishien Crippled Children's Hospital, Oita, Japan.

出版信息

Nihon Seikeigeka Gakkai Zasshi. 1991 Aug;65(8):517-26.

PMID:1955797
Abstract

Roentgenographical examinations were carried out in 41 joints of 22 cases with physiological bowleg and 7 joints of 5 cases with the infantile type of Blount's disease. The observation periods were from 1 year and 4 months to 8 years and 1 month with an average of 4 years and 2 months. The femorotibial angle, the proximal tibial metaphyseal diaphyseal angle, the distal tibial metaphyseal diaphyseal angle and the tibial metaphyseal metaphyseal angle were measured, and evaluated statistically. The measurement of the proximal tibial metaphyseal diaphyseal angle and the tibial metaphyseal metaphyseal angle were more significant than that of the femorotibial angle for early differentiation of the infantile type of Blount's disease from physiological bowleg. The degree and it's change of the distal tibial metaphyseal diaphyseal angle show no difference between physiological bowleg and the infantile type of Blount's disease.

摘要

对22例生理性膝内翻患者的41个关节以及5例婴儿型布朗特病患者的7个关节进行了X线检查。观察期为1年4个月至8年1个月,平均为4年2个月。测量了股胫角、胫骨近端干骺端骨干角、胫骨远端干骺端骨干角和胫骨干骺端干骺端角,并进行了统计学评估。对于婴儿型布朗特病与生理性膝内翻的早期鉴别,胫骨近端干骺端骨干角和胫骨干骺端干骺端角的测量比股胫角更具意义。生理性膝内翻与婴儿型布朗特病之间,胫骨远端干骺端骨干角的程度及其变化无差异。

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