Ergas E, Frankel V H, Kushner S
Hospital for Joint Diseases Orthopaedic Institute, New York, NY 10028.
Bull Hosp Jt Dis Orthop Inst. 1988 Spring;48(1):36-43.
Varus, valgus, and retroversion-anteversion displacements of femoral neck fractures are easily identified on standard AP and lateral radiographs, but rotational malalignments are frequently overlooked. Alterations of the normal appearance of the trabecular systems will indicate rotatory malalignments. A misleading picture of what seems to be severe osteoporosis may actually be due to malrotation and disappearance of the normal trabecular pattern on radiograph.
股骨颈骨折的内翻、外翻以及旋转-前倾移位在标准前后位和侧位X线片上很容易识别,但旋转排列不齐常常被忽视。小梁系统正常外观的改变将提示旋转排列不齐。看似严重骨质疏松的误导性影像实际上可能是由于旋转不良以及X线片上正常小梁模式的消失所致。