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股骨头缺血性坏死快速进展的非典型临床表现。

Atypical Clinical Presentation of Rapidly Progressing Femoral Head Avascular Necrosis.

出版信息

J Orthop Sports Phys Ther. 2017 Mar;47(3):217. doi: 10.2519/jospt.2017.6483.

DOI:10.2519/jospt.2017.6483
PMID:28245745
Abstract

A 51-year-old man presented to an urgent care facility 2 weeks after onset of left lateral hip and buttock pain. Radiographs were noncontributory. An orthopaedist referred him to physical therapy, but due to the worsening clinical presentation, he was referred back to the orthopaedist for additional evaluation. Magnetic resonance imaging was ordered and demonstrated abnormal femoral head and acetabular contour, extensive bone marrow edema, and a complex joint effusion. He was diagnosed with femoral head avascular necrosis. J Orthop Sports Phys Ther 2017;47(3):217. doi:10.2519/jospt.2017.6483.

摘要

一位 51 岁男性在出现左侧髋关节和臀部疼痛 2 周后到急诊就诊。放射学检查无明显异常。骨科医生建议他去做物理治疗,但由于临床症状恶化,他又被转回骨科进行进一步评估。随后进行了磁共振成像检查,结果显示股骨头和髋臼轮廓异常,广泛骨髓水肿,关节积液复杂。最终被诊断为股骨头缺血性坏死。《美国骨科运动医学杂志》2017 年;47(3):217.doi:10.2519/jospt.2017.6483.

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