Berg Sebastian, Kuminack Kerstin F
Kinderradiologie, St. Josefskrankenhaus Freiburg, Sautierstr. 1, 79104, Freiburg, Deutschland.
Kinderorthopädie, Universitätsklinik Freiburg, Hugstetter Str. 55, 79106, Freiburg im Breisgau, Deutschland.
Radiologie (Heidelb). 2022 Sep;62(9):789-802. doi: 10.1007/s00117-022-01057-9. Epub 2022 Aug 17.
A number of different acquired pathologies can affect the pediatric hip joint. The classical and relatively common reactive, inflammatory or traumatic entities have to be differentiated from each other. Rarer and very rare pathologies, such as neoplastic entities or tenosynovial giant cell tumor, must also be considered in the differential diagnostics. The correct diagnosis, treatment planning and follow-up monitoring require close coordination between the departments of pediatric radiology and pediatric orthopedics. Sonography often represents the initial diagnostic step, followed by conventional radiography. Further evaluation of hip joint pathologies requires magnetic resonance imaging. In selected cases computed tomography can also be indicated.
多种不同的后天性病变可影响小儿髋关节。必须将典型且相对常见的反应性、炎症性或创伤性疾病相互区分开来。在鉴别诊断中还必须考虑罕见和极罕见的病变，如肿瘤性病变或腱鞘巨细胞瘤。正确的诊断、治疗规划和随访监测需要小儿放射科和小儿骨科密切协作。超声检查通常是初步诊断步骤，随后是传统X线摄影。对髋关节病变的进一步评估需要磁共振成像。在某些特定情况下也可采用计算机断层扫描。
