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儿童髋关节疾病的十大成人表现:给普通放射科医生的最新综述

Top Ten Adult Manifestations of Childhood Hip Disorders: An Up-To-Date Review for General Radiologists.

作者信息

Schlung Jedidiah, Schiffman Scott, Chaturvedi Apeksha

机构信息

Department of Imaging Sciences, Strong Memorial Hospital, Box 648, 601 Elmwood Avenue, Rochester, NY 14642, USA.

Department of Imaging Sciences, Strong Memorial Hospital, Box 648, 601 Elmwood Avenue, Rochester, NY 14642, USA.

出版信息

Radiol Clin North Am. 2020 May;58(3):529-548. doi: 10.1016/j.rcl.2020.01.002.

Abstract

Congenital, developmental, and acquired conditions of the pediatric hip frequently present with sequelae in the adult. There is substantial overlap in the end-stage results of these pathologic conditions, including osseous changes, chondral/labral injuries, and premature osteoarthritis. This review discusses the top 10 etiopathogeneses of pediatric hip conditions and presents associated dysmorphisms in the adult on an illustrative, multimodality, case-based template. Quantitative imaging metrics and the role of advanced imaging techniques are reviewed. The ultimate goal is enhanced understanding of the expected evolution of childhood hip pathologic conditions and their associated complications for general radiologists.

摘要

小儿髋关节的先天性、发育性和后天性疾病在成人期常伴有后遗症。这些病理状况的终末期结果存在大量重叠,包括骨质改变、软骨/盂唇损伤和过早发生的骨关节炎。本综述讨论了小儿髋关节疾病的十大病因,并以一个基于病例的多模态示例模板展示了成人期相关的畸形。对定量成像指标和先进成像技术的作用进行了综述。最终目标是增强普通放射科医生对儿童髋关节病理状况及其相关并发症预期演变的理解。

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