髋关节影像学：针对年轻成人髋关节的系统方法
Imaging of the hip: a systematic approach to the young adult hip.
作者信息
Chiamil Sara Muñoz, Abarca Claudia Astudillo
机构信息
Radiology Department, Clinica Las Condes, Santiago Chile.
出版信息
Muscles Ligaments Tendons J. 2016 Dec 21;6(3):265-280. doi: 10.11138/mltj/2016.6.3.265. eCollection 2016 Jul-Sep.
BACKGROUND
Great advances in knowledge and understanding of the biomechanics of the hip, both in arthroscopic procedures and imaging techniques, have expanded and improved the diagnosis of pathologies of the young adult hip. The anatomy of the hip joint is complex due to its morphology and orientation. The inter-pretation of the images requires deep knowledge of the osseous and soft tissue anatomy: muscles, tendons, ligaments, vessels and nerves. There are multiple imaging tools. Diagnostic techniques have different utilities and often are complementary.
METHODS
In this article the various diagnostic imaging techniques for evaluation of hip pathologies are discussed, their indications and usefulness, with emphasis on those resolved arthroscopically.
CONCLUSION
Young adult hip disorders are increasingly diagnosed and treated as arthroscopic procedures improved. Radiology is a fundamental contribution in the diagnostic process. Plain radiography (X-ray) is always the initial examination.
LEVEL OF EVIDENCE
V.
背景
在关节镜手术和成像技术方面，对髋关节生物力学的认识和理解取得了巨大进展，这拓展并改善了对年轻成人髋关节病变的诊断。髋关节的解剖结构因其形态和方向而复杂。图像解读需要对骨骼和软组织解剖结构有深入了解，包括肌肉、肌腱、韧带、血管和神经。有多种成像工具。诊断技术具有不同的用途，且常常相互补充。
方法
本文讨论了用于评估髋关节病变的各种诊断成像技术、其适应症和用途，重点关注那些通过关节镜解决的问题。
结论
随着关节镜手术的改进，越来越多的年轻成人髋关节疾病得到诊断和治疗。放射学在诊断过程中起着重要作用。平片（X线）始终是初始检查。
证据级别
V级
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