采用髋关节牵引超声诊断髋臼唇撕裂：病例系列研究。
Diagnosing acetabular labral tears with hip traction sonography: a case series.
机构信息
Department of Radiology, Logan University, 1851 Schoettler Rd, Chesterfield, MO, USA.
出版信息
J Ultrasound. 2021 Dec;24(4):547-553. doi: 10.1007/s40477-020-00446-x. Epub 2020 Apr 2.
PURPOSE
Three cases of acetabular labral tear (ALT) diagnosed with sonography (US) are reported. We aim to show utility for US with the addition of manual hip traction as an adjunctive modality to the current diagnostic imaging of choice, magnetic resonance arthrography (MRA), for diagnosing ALT.
METHODS
Three cases of young athletic patients with similar clinical presentations are reported. All received US examination of the hip with attention to the labrum that included a novel long-axis hip traction technique which assisted in diagnosing ALT.
RESULTS
In the first and second cases, MRA and orthopedic consult were obtained for confirmation of the diagnosis. Arthroscopy was performed to correct the ALT. The third patient declined an MRA. Conservative management consisted of McKenzie method active care, resulting in return to sport in the third case.
CONCLUSION
These three cases demonstrate the clinical and sonographic presentation of ALT. The dynamic long-axis hip traction protocol facilitated the use of US as an adjunctive modality for diagnosing ALT by increasing the visualization of the defect.
目的
报告 3 例经超声（US）诊断的髋臼唇撕裂（ALT）病例。我们旨在展示 US 的效用，将手动髋关节牵引作为当前首选的磁共振关节造影术（MRA）的辅助诊断成像方式，用于诊断 ALT。
方法
报告 3 例年轻运动患者的相似临床表现。所有患者均接受髋关节 US 检查，重点关注髋臼唇，包括一种新的长轴髋关节牵引技术，有助于诊断 ALT。
结果
在第一例和第二例中，获得了 MRA 和骨科会诊以确认诊断。进行了关节镜检查以纠正 ALT。第三例患者拒绝了 MRA。保守治疗包括麦肯齐方法积极护理，第三例患者因此恢复运动。
结论
这 3 例病例展示了 ALT 的临床和超声表现。动态长轴髋关节牵引方案通过增加缺陷的可视化，促进了 US 作为辅助诊断 ALT 的方式的应用。
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