Grynwald Jean, Bastos Juliana de Melo Lafaiete, Costa Vinicius Basañez Aleluia, Rimkus Carolina de Medeiros, Júnior Alberto Cliquet
Department of Traumatology and Orthopedics of Faculdade de Ciências Médicas da Unicamp - Campinas, SP, Brazil.
Radiology Institute- USP, São Paulo, Brazil.
Acta Ortop Bras. 2012;20(1):31-3. doi: 10.1590/S1413-78522012000100006.
The spinal cord-injured patients begin to present a new configuration of forces on the joints. The hip joint is one of the most affected, because these patients generally use a wheelchair as a means of locomotion. Osteoarticular changes, such as heterotopic ossification, can be found in these patients, as evidenced by radiographic studies. This study aims to identify radiographic changes in hips of spinal cord-injured patients.
15 patients (30 hips) were evaluated and followed up at the Laboratory of Biomechanical Rehabilitation of the Musculoskeletal System of HC-Unicamp, through the analysis of radiographs of the pelvis in anterior-posterior and Lowenstein lateral positions.
Of the total hips, only seven (23%) had no evidence of articular damage. The prevalence of heterotopic ossification found (16.6%) was similar to the literature.
The radiographic assessment of these patient's hips is justified by the prevalence of joint changes found. Level of Evidence II, Development of diagnostic criteria in consecutive patients (with universally applied reference "gold" standard).
脊髓损伤患者开始在关节上呈现出新的力的分布情况。髋关节是受影响最严重的关节之一，因为这些患者通常使用轮椅作为移动工具。影像学研究表明，这些患者可能会出现诸如异位骨化等骨关节变化。本研究旨在确定脊髓损伤患者髋关节的影像学变化。
在坎皮纳斯大学医院肌肉骨骼系统生物力学康复实验室对15例患者（30个髋关节）进行评估和随访，通过分析骨盆前后位和洛温斯坦侧位的X线片。
在所有髋关节中，只有7个（23%）没有关节损伤的迹象。发现的异位骨化患病率（16.6%）与文献报道相似。
鉴于所发现的关节变化的患病率，对这些患者的髋关节进行影像学评估是合理的。证据等级II，连续患者诊断标准的制定（采用普遍适用的参考“金”标准）。
