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年轻成人股骨颈滑脱后临床和影像学表现的意义。

Significance of clinical and radiographic findings in young adults after slipped capital femoral epiphysis.

机构信息

Department of Orthopaedic Surgery, University Hospital of Duesseldorf, Duesseldorf, Germany.

出版信息

Int Orthop. 2011 Sep;35(9):1295-301. doi: 10.1007/s00264-010-1106-5. Epub 2010 Aug 8.

Abstract

The purpose of this study was to assess the clinical and radiographic presentation of young adults in the mid-term follow-up after pinning in situ for mild to moderate slipped capital femoral epiphysis (SCFE). We postulated that there was a correlation between the degree of head-neck-offset decrease and clinical and radiographic signs of hip joint degeneration. Thirty-eight young adults (average age 23.4 ± 3.6 years old) with various grades of femoral head-neck-offset pathologies were assessed clinically via Harris hip score (HHS), Tegner-Lysholm score (TLS) and Short Form 36 (SF-36), and radiographic signs of OA were measured on plain X-ray films after a follow-up of 11.1 ± 3.8 years. We conclude that clinical and radiographic signs of joint degeneration appear early in the follow-up after SCFE, but there is no linear correlation between offset-pathology and joint degeneration.

摘要

本研究旨在评估轻度至中度股骨颈前滑脱(SCFE)后中期随访中青年患者的临床和影像学表现。我们推测,头-颈偏移减小的程度与髋关节退变的临床和影像学征象之间存在相关性。38 名年轻成年人(平均年龄 23.4±3.6 岁)存在不同程度的股骨头-颈偏移病变,通过髋关节 Harris 评分(HHS)、Tegner-Lysholm 评分(TLS)和 36 项简短健康调查(SF-36)进行临床评估,并在随访 11.1±3.8 年后在普通 X 射线片上测量骨关节炎的放射学征象。我们的结论是,SCFE 后随访早期就会出现关节退变的临床和影像学征象,但偏移病变与关节退变之间没有线性相关性。

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