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磁共振成像评估发育性髋关节发育不良中的软骨髋臼

Evaluation of the cartilaginous acetabulum by magnetic resonance imaging in developmental dysplasia of the hip.

作者信息

Takeuchi Ryoko, Kamada Hiroshi, Mishima Hajime, Mukai Naoki, Miyakawa Shumpei, Ochiai Naoyuki

机构信息

aDepartment of Orthopaedic Surgery, Graduate School of Comprehensive Human Science bDepartment of Orthopaedic Surgery, Faculty of Medicine cFaculty of Health and Sport Science, University of Tsukuba, Ibaraki dDepartment of Orthopaedic Surgery, Kikkoman General Hospital, Chiba, Japan.

出版信息

J Pediatr Orthop B. 2014 May;23(3):237-43. doi: 10.1097/BPB.0000000000000032.

Abstract

MRI findings for 51 hips in 45 pediatric patients (mean age 2.3 years; range, 1.1-4.1 years) with suspected acetabular dysplasia or residual subluxations were analyzed retrospectively. We attempted to predict the growth of osseous acetabulum and future acetabular coverage on MRI performed at 2 years of age. The cut-off value of the cartilaginous angle was 18° for the cartilage acetabular index and 13° for the cartilage center edge angle. However, follow-up assessments to monitor the progress of changes in the congruity between femoral head and acetabular development are important.

摘要

回顾性分析了45例疑似髋臼发育不良或残留半脱位的儿科患者(平均年龄2.3岁;范围1.1 - 4.1岁)的51个髋关节的MRI表现。我们试图根据2岁时进行的MRI预测骨性髋臼的生长及未来髋臼覆盖情况。软骨髋臼指数的软骨角截断值为18°,软骨中心边缘角的截断值为13°。然而,随访评估以监测股骨头与髋臼发育一致性变化的进展情况很重要。

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