Chuinard E G
Orthopedics. 1978 Mar-Apr;1(2):130-40.
The author emphasizes the importance of true lateral and multiple-position roentgenograms in providing a more comprehensive demonstration of the pathology, the attainment of reduction and the surgical alterations which are necessary to maintain a congruous reduction. A simple convenient technique for lateral roentgenography of the hip in children is presented. A series of cases with roentgenograms is also presented to demonstrate the value of the lateral roentgenograms. The horizontal lateral roentgenogram simulates the position of the upright human stance, and thus, depicts malocclusion, which may be seen when anteversion is present. Even though the anterior view depicts sphericity and apparent coverage, the lateral roentgenogram may show malocclusion which may lead to degenerative changes later in life. It is the author's belief that the treatment of children's hip conditions will show improved long-term results if predicated on the comprehensive x-ray examination outlined in this article.
作者强调真正的侧位和多体位X线片对于更全面地显示病理情况、实现复位以及进行维持复位一致性所需的手术改变的重要性。本文介绍了一种用于儿童髋关节侧位X线摄影的简单便捷技术。还展示了一系列带有X线片的病例，以证明侧位X线片的价值。水平侧位X线片模拟人体直立姿势，因此能显示前倾时可能出现的错合情况。尽管正位片显示了股骨头的球形和表面覆盖情况，但侧位X线片可能显示错合，这可能导致日后生活中的退行性改变。作者认为，如果依据本文所述的全面X线检查来治疗儿童髋关节疾病，长期效果将会得到改善。
