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发育性髋关节发育不良闭合复位后 Spica MRI。

Spica MRI after closed reduction for developmental dysplasia of the hip.

机构信息

Vanderbilt University School of Medicine, 1211 Medical Center Drive, Nashville, TN 37232, USA.

出版信息

Pediatr Radiol. 2011 Apr;41(4):525-9. doi: 10.1007/s00247-010-1965-3. Epub 2011 Jan 29.

DOI:10.1007/s00247-010-1965-3
PMID:21279341
Abstract

Spica MRI is a fast and effective tool to assess morphology after closed reduction for developmental dysplasia of the hip (DDH) without the need for sedation. The multiplanar capabilities allow depiction of coronal and axial reduction of the hips. Due to MRI's inherent ability to delineate soft tissue structures, both intrinsic and extrinsic obstacles to failed reduction may be identified. Technical and interpretative challenges of spica MRI are discussed.

摘要

Spica MRI 是一种快速有效的工具，可在无需镇静的情况下评估发育性髋关节发育不良（DDH）闭合复位后的形态，具有多平面成像能力，可显示髋关节的冠状面和轴面复位。由于 MRI 具有固有区分软组织结构的能力，因此可以识别复位失败的内在和外在障碍。本文讨论了 Spica MRI 的技术和解读挑战。

相似文献

1
Spica MRI after closed reduction for developmental dysplasia of the hip.发育性髋关节发育不良闭合复位后 Spica MRI。
Pediatr Radiol. 2011 Apr;41(4):525-9. doi: 10.1007/s00247-010-1965-3. Epub 2011 Jan 29.
2
Spica MRI after closed reduction for developmental dysplasia of the hip.发育性髋关节发育不良闭合复位后的人字位磁共振成像
Pediatr Radiol. 2011 Jun;41(6):790; author reply 791. doi: 10.1007/s00247-011-2083-6. Epub 2011 May 7.
3
Spica MRI predictors for epiphyseal osteonecrosis after closed reduction treatment of dysplasia of the hip.闭合复位治疗发育性髋关节发育不良后骨骺骨坏死的斯皮卡磁共振成像预测因素
J Pediatr Orthop B. 2019 Sep;28(5):424-429. doi: 10.1097/BPB.0000000000000606.
4
Utility of immediate postoperative hip MRI in developmental hip dysplasia: closed vs. open reduction.发育性髋关节发育不良术后即刻髋部磁共振成像的效用：闭合复位与开放复位对比
Pediatr Radiol. 2018 Aug;48(8):1096-1100. doi: 10.1007/s00247-018-4143-7. Epub 2018 Apr 25.
5
Does Perfusion MRI After Closed Reduction of Developmental Dysplasia of the Hip Reduce the Incidence of Avascular Necrosis?发育性髋关节发育不良闭合复位后灌注磁共振成像能否降低股骨头缺血性坏死的发生率？
Clin Orthop Relat Res. 2016 May;474(5):1153-65. doi: 10.1007/s11999-015-4387-6.
6
Reliability of indices measured on infant hip MRI at time of spica cast application for dysplasia.在应用髋人字石膏治疗发育不良时，婴儿髋部MRI测量指标的可靠性。
Hip Int. 2014 Jul-Aug;24(4):405-16. doi: 10.5301/hipint.5000143. Epub 2014 May 30.
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Post-closed reduction perfusion magnetic resonance imaging as a predictor of avascular necrosis in developmental hip dysplasia: a preliminary report.闭合复位后灌注磁共振成像作为发育性髋关节发育不良中股骨头缺血性坏死的预测指标：初步报告
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Ilfeld abduction orthosis is an effective second-line treatment after failure of Pavlik harness for infants with developmental dysplasia of the hip.对于发育性髋关节发育不良的婴儿，在 Pavlik 吊带治疗失败后，伊尔费尔德外展矫形器是一种有效的二线治疗方法。
J Bone Joint Surg Am. 2015 Feb 18;97(4):292-7. doi: 10.2106/JBJS.N.00707.
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Magnetic resonance imaging follow-up can screen for soft tissue changes and evaluate the short-term prognosis of patients with developmental dysplasia of the hip after closed reduction.磁共振成像随访可筛查软组织变化，并评估发育性髋关节发育不良患者闭合复位后的短期预后。
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Protocol for MRI of the hips after spica cast placement.髋人字石膏固定后髋关节的磁共振成像检查方案。
J Pediatr Orthop. 2012 Jul-Aug;32(5):504-9. doi: 10.1097/BPO.0b013e31825a23e4.

引用本文的文献

1
Closed versus medial open reduction in the treatment of developmental dysplasia of the hip under age 1: A retrospective comparative study.闭合复位与经内侧切开复位治疗 1 岁以下发育性髋关节发育不良：一项回顾性对比研究。
Acta Orthop Traumatol Turc. 2023 Nov;57(6):329-333. doi: 10.5152/j.aott.2023.22151.
2
Hip Morphology on Post-Reduction MRI Predicts Residual Dysplasia 10 Years After Open or Closed Reduction.术后 MRI 髋关节形态预测切开或闭合复位后 10 年残余髋臼发育不良。
J Bone Joint Surg Am. 2024 Jan 17;106(2):110-119. doi: 10.2106/JBJS.23.00333. Epub 2023 Nov 22.
3
MRI risk factors for development of avascular necrosis after closed reduction of developmental dysplasia of the hip: Predictive value of contrast-enhanced MRI.

本文引用的文献

1
Post-closed reduction perfusion magnetic resonance imaging as a predictor of avascular necrosis in developmental hip dysplasia: a preliminary report.闭合复位后灌注磁共振成像作为发育性髋关节发育不良中股骨头缺血性坏死的预测指标：初步报告
J Pediatr Orthop. 2009 Jan-Feb;29(1):14-20. doi: 10.1097/BPO.0b013e3181926c40.
2
Magnetic resonance imaging evaluation of surgical management in developmental dysplasia of the hip in childhood.儿童发育性髋关节发育不良手术治疗的磁共振成像评估
J Pediatr Orthop. 2002 Jan-Feb;22(1):92-100.
3
Developmental dysplasia of the hip from six months to four years of age.
MRI 对发育性髋关节发育不良闭合复位后发生股骨头坏死的危险因素分析：增强 MRI 的预测价值。
PLoS One. 2021 Mar 18;16(3):e0248701. doi: 10.1371/journal.pone.0248701. eCollection 2021.
4
Post-operative radiograph assessment of children undergoing closed reduction and spica cast immobilization for developmental dysplasia of the hip: does experience matter?对因发育性髋关节发育不良接受闭合复位及髋人字石膏固定术的儿童进行术后X线片评估：经验重要吗？
Int Orthop. 2018 Nov;42(11):2725-2731. doi: 10.1007/s00264-018-4038-0. Epub 2018 Jun 21.
5
Utility of immediate postoperative hip MRI in developmental hip dysplasia: closed vs. open reduction.发育性髋关节发育不良术后即刻髋部磁共振成像的效用：闭合复位与开放复位对比
Pediatr Radiol. 2018 Aug;48(8):1096-1100. doi: 10.1007/s00247-018-4143-7. Epub 2018 Apr 25.
6
Spica magnetic resonance imaging for determination of abduction angle: initial results and reproducibility assessment.用于确定外展角度的人字形石膏磁共振成像：初步结果与可重复性评估
J Child Orthop. 2016 Oct;10(5):381-5. doi: 10.1007/s11832-016-0765-1. Epub 2016 Aug 12.
7
1.0 s Ultrafast MRI in non-sedated infants after reduction with spica casting for developmental dysplasia of the hip: a feasibility study.1.0秒超快磁共振成像在非镇静状态下接受髋人字石膏固定复位治疗的发育性髋关节发育不良婴儿中的应用：一项可行性研究。
J Child Orthop. 2016 Jun;10(3):193-9. doi: 10.1007/s11832-016-0734-8. Epub 2016 Apr 13.
8
Multimodality imaging of developmental dysplasia of the hip.髋关节发育不良的多模态影像学
Pediatr Radiol. 2013 Mar;43 Suppl 1:S166-71. doi: 10.1007/s00247-012-2591-z. Epub 2013 Mar 12.
9
Spica MRI after closed reduction for developmental dysplasia of the hip.发育性髋关节发育不良闭合复位后的人字位磁共振成像
Pediatr Radiol. 2011 Jun;41(6):790; author reply 791. doi: 10.1007/s00247-011-2083-6. Epub 2011 May 7.
J Am Acad Orthop Surg. 2001 Nov-Dec;9(6):401-11. doi: 10.5435/00124635-200111000-00005.
4
Gadolinium-enhanced MR imaging of pediatric patients after reduction of dysplastic hips: assessment of femoral head position, factors impeding reduction, and femoral head ischemia.
AJR Am J Roentgenol. 1998 Jun;170(6):1633-7. doi: 10.2214/ajr.170.6.9609187.
5
Normal gadolinium-enhanced MR images of the developing appendicular skeleton: Part I. Cartilaginous epiphysis and physis.发育中四肢骨骼的正常钆增强磁共振成像：第一部分。软骨骨骺和生长板。
AJR Am J Roentgenol. 1997 Jul;169(1):183-9. doi: 10.2214/ajr.169.1.9207522.
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Gadolinium-enhanced MR imaging demonstrates abduction-caused hip ischemia and its reversal in piglets.钆增强磁共振成像显示了仔猪外展引起的髋关节缺血及其逆转情况。
AJR Am J Roentgenol. 1996 Apr;166(4):879-87. doi: 10.2214/ajr.166.4.8610567.