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髋关节的放射学检查——临床指征、方法及解读:临床述评

Radiological examination of the hip - clinical indications, methods, and interpretation: a clinical commentary.

作者信息

Reis Amir C, Rabelo Nayra D A, Pereira Rafael P, Polesello Giancarlo, Martin Robroy L, Garcia Lucareli Paulo Roberto, Fukuda Thiago Y

机构信息

MSc postgraduate student, Universidade Nove de Julho, São Paulo, SP, Brazil.

Irmandade da Santa Casa de Misericórdia, Rehabilitation Service, São Paulo, SP, Brazil.

出版信息

Int J Sports Phys Ther. 2014 Apr;9(2):256-67.

Abstract

UNLABELLED

There is a growing interest in musculoskeletal rehabilitation for young active individuals with non-arthritic hip pathology. History and physical examination can be useful to classify those with non-arthritic intra-articular hip pathology as having impingement or instability. However, the specific type of deformity leading to symptoms may not be apparent from this evaluation, which may compromise the clinical decision-making. Several radiological indexes have been described in the literature for individuals with non-arthritic hip pathology. These indexes identify and quantify acetabular and femoral deformities that may contribute to instability and impingement. The aim of this paper is to discuss clinical indications, methods, and the use of hip radiological images or radiology reports as they relate to physical examination findings for those with non-arthritic hip pathology.

LEVEL OF EVIDENCE

摘要

未标注

对于患有非关节炎性髋关节病变的年轻活跃个体,肌肉骨骼康复的关注度日益增加。病史和体格检查有助于将患有非关节炎性关节内髋关节病变的患者分类为撞击或不稳定型。然而,导致症状的特定畸形类型可能无法从该评估中明确看出,这可能会影响临床决策。文献中已描述了几种针对患有非关节炎性髋关节病变个体的放射学指标。这些指标可识别和量化可能导致不稳定和撞击的髋臼和股骨畸形。本文旨在讨论与非关节炎性髋关节病变患者的体格检查结果相关的髋部放射学图像或放射学报告的临床适应证、方法及应用。

证据级别

5级。

相似文献

本文引用的文献

1
PROPOSAL FOR STANDARDIZATION OF RADIOGRAPHIC STUDIES ON THE HIP AND PELVIS.关于髋部和骨盆影像学研究标准化的提案。
Rev Bras Ortop. 2015 Nov 16;46(6):634-42. doi: 10.1016/S2255-4971(15)30318-9. eCollection 2011 Nov-Dec.
3
Hip injuries in the overhead athlete.上肢运动员的髋关节损伤。
Clin Orthop Relat Res. 2012 Jun;470(6):1579-85. doi: 10.1007/s11999-012-2245-3.
5
Ligamentum teres: a functional description and potential clinical relevance.圆韧带:功能描述及潜在临床意义。
Knee Surg Sports Traumatol Arthrosc. 2012 Jun;20(6):1209-14. doi: 10.1007/s00167-011-1663-1. Epub 2011 Sep 20.
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Eur J Radiol. 2012 Dec;81(12):3740-4. doi: 10.1016/j.ejrad.2011.03.097. Epub 2011 Sep 15.
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10
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