先天性多发性关节挛缩症中的髋关节。
The hip in arthrogryposis.
作者信息
Bradish Christopher
机构信息
Orthopaedic and Spinal Surgery Unit, Great Ormond Street Hospital, Great Ormond Street, London, WC1N 3JH, UK.
出版信息
J Child Orthop. 2015 Dec;9(6):459-63. doi: 10.1007/s11832-015-0693-5. Epub 2015 Oct 19.
Abstract
PATHOLOGY
Hip dislocation is seen in approximately 30 % of children with amyoplasia and approximately 50 % of these will be bilateral.
TREATMENT
Closed reduction is rarely successful. Open reduction is indicated for unilateral dislocations and for the majority of bilateral dislocations. Reduction is recommended via a medial approach.
RESULTS
A long-term satisfactory outcome can be achieved but with some loss of hip range of movement.
摘要
病理学
髋关节脱位见于约30%的先天性肌发育不全患儿，其中约50%为双侧脱位。
治疗
闭合复位很少成功。对于单侧脱位和大多数双侧脱位，建议行切开复位。推荐经内侧入路进行复位。
结果
可获得长期满意的疗效，但髋关节活动范围会有一定程度的丧失。
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本文引用的文献
1
Twenty-year follow-up of hip problems in arthrogryposis multiplex congenita.
J Pediatr Orthop. 2002 May-Jun;22(3):359-63.
2
Surgical management of hip dislocation in children with arthrogryposis multiplex congenita.
J Bone Joint Surg Br. 1998 Jul;80(4):636-40. doi: 10.1302/0301-620x.80b4.8216.
3
Medial-approach open reduction of hip dislocation in amyoplasia-type arthrogryposis.
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Management of hip dislocations in children with arthrogryposis.
J Pediatr Orthop. 1987 Nov-Dec;7(6):681-5.
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