Niethard F U, Roesler H
Z Orthop Ihre Grenzgeb. 1987 Mar-Apr;125(2):170-6. doi: 10.1055/s-2008-1044909.
The results of measurement of length and angles in the x-ray and ultrasound image of the infantile hip joint are dependent on the different shape of the joint but also on different x-ray projections, on a limited accuracy and incorrect technique in measurement. From our investigations on the accuracy of measurement a differentiation between normal and pathological infantile hip joints is not possible by measuring geometrical data in the x-ray resp. ultrasound image. In the x-ray the greatest possible error of the acetabular angle is +/- 3 degrees, that of the so-called "AMC-angle" +/- 5 degrees and of the Alpha- and Beta-angle in the ultrasound image +/- 10 degrees. Thus the collection of geometrical data in the x-ray and ultrasound image of the infantile hip joint is not more reliable than a qualitative assessment orientated on the osseous resp. cartilaginous corner of the acetabulum.
婴儿髋关节X线和超声图像中长度及角度的测量结果,不仅取决于关节的不同形状,还取决于不同的X线投照、测量精度有限以及测量技术不正确。根据我们对测量精度的研究,通过测量X线或超声图像中的几何数据,无法区分正常和病理性婴儿髋关节。在X线检查中,髋臼角的最大可能误差为±3度,所谓的“AMC角”为±5度,超声图像中α角和β角为±10度。因此,收集婴儿髋关节X线和超声图像中的几何数据,并不比基于髋臼骨性或软骨性角的定性评估更可靠。