Bankaoğlu Müjdat
Department of Radiology, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
Sisli Etfal Hastan Tip Bul. 2019 Apr 25;53(2):103-109. doi: 10.14744/SEMB.2019.79095. eCollection 2019.
Developmental dysplasia of the hip (DDH) is still one of the biggest orthopedic problems in the world. Global poverty and refugee crises have led to it becoming a greater issue even in developed nations. Early diagnosis and effective treatment of DDH are required to prevent the possibility of arthrosis, limb shortening, pelvic asymmetry, and vertebral scoliosis. In late cases, surgery is the only choice for correction. Direct radiography has been used for many years and continues to have an important role, though ultrasonography is the primary source for early postnatal screening. Although magnetic resonance imaging (MRI) has become an important modality to provide sectional imaging in many cases, in late-period dysplasia, computed tomography (CT) and three-dimensional (3D) CT are preferred because it can more effectively demonstrate the cortical bony structures. The aim of this review was to demonstrate the effectiveness of 3D CT and multiplanar reconstruction based on previous studies.
发育性髋关节发育不良(DDH)仍然是全球最严重的骨科问题之一。全球贫困和难民危机导致即使在发达国家,这一问题也日益严重。为预防关节病、肢体缩短、骨盆不对称和脊柱侧弯的发生,需要对DDH进行早期诊断和有效治疗。在晚期病例中,手术是唯一的矫正选择。直接X线摄影已使用多年且仍发挥着重要作用,不过超声检查是出生后早期筛查的主要手段。尽管磁共振成像(MRI)在许多情况下已成为提供断层成像的重要方式,但在晚期发育不良中,计算机断层扫描(CT)和三维(3D)CT更受青睐,因为它们能更有效地显示皮质骨结构。本综述的目的是基于以往研究展示3D CT和多平面重建的有效性。