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[夹板固定不稳定期儿童髋关节脱位复位的超声控制(哈瑙塞克位)]

[Ultrasound control of the repositioning of hip dislocation in a child in the unstable phase of splint retention (Hanausek position)].

作者信息

Steffen R, Schleberger R, Fett H

机构信息

Orthop. Univ.-Klinik im St. Josef-Hospital, Bochum.

出版信息

Z Orthop Ihre Grenzgeb. 1990 Jan-Feb;128(1):83-9. doi: 10.1055/s-2008-1039866.

Abstract

In CDH ultrasound control of reduction in the unstable period of the first 3 months has to be performed by an inguinal access, as the splint can not be removed for the reason of high risks of redislocation. Controls are possible whenever required, according to anglo-american techniques. Thus treatment within the first year of life may be controlled by ultrasound imaging alone. Criteria for detection of posterior and cranial redislocation as well as for the anterior positioning of the femoral head are given.

摘要

在先天性髋关节脱位(CDH)中,最初3个月不稳定期复位的超声监测必须通过腹股沟入路进行,因为由于再脱位风险高,夹板不能拆除。根据英美式技术,可在需要时随时进行监测。因此,仅通过超声成像就可以对1岁以内的治疗进行监测。文中给出了检测后方和头侧再脱位以及股骨头前位的标准。

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