Adamczyk Emil, Sibiński Marcin, Synder Marek
Klinika Ortopedii i Ortopedii Dzieciecej, Uniwersytet Medyczny w Łodzi.
Chir Narzadow Ruchu Ortop Pol. 2010 Nov-Dec;75(6):344-7.
The purpose of the study was to analyze the value of clinical and radiological measurements of femoral anteversion. There were 49 patients (39 girls, 10 boys) with the mean age of 9.1 years (range from 4 to 15 years) at last follow-up. Among 98 analyzed hips 59 had IIb hip dysplasia according to Graf at childhood. Clinically femoral anteversion angle was measured using the trochanteric prominence angle test. On radiographs femoral anteversion angle was measured according to Strzyzewski method. Femoral anteversion wasn't significantly increased in joints type IIb. The correlation of clinical and radiographic determination of femoral anteversion was good (r=71) and it is recommended for routine examination. Hip rotation in flexion (r=59) better correlated with radiographic anteversion than in extension (r=46) and their combination increased correlation (r=62). Clinical examination in hips flexed 90 degrees allows for better assessment of femoral anteversion than examination done in hip extension.
本研究的目的是分析股骨前倾临床测量和影像学测量的价值。共有49例患者（39名女孩，10名男孩），末次随访时平均年龄为9.1岁（范围4至15岁）。在98个分析的髋关节中，59个在儿童期根据Graf分级为IIb型髋关节发育不良。临床上使用转子突出角试验测量股骨前倾角度。在X线片上，根据Strzyzewski方法测量股骨前倾角度。IIb型关节中股骨前倾没有显著增加。股骨前倾临床测量与影像学测量的相关性良好（r = 71），建议用于常规检查。髋关节屈曲时的旋转（r = 59）与影像学前倾的相关性优于伸展时（r = 46），两者结合可提高相关性（r = 62）。髋关节屈曲90度时的临床检查比髋关节伸展时的检查能更好地评估股骨前倾。
