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[婴幼儿及青少年髋关节成像的临床方面]

[Clinical aspects of imaging the hip in infants, children and adolescents].

作者信息

Heimkes Bernhard, Berger Nina, Frimberger Vincent

机构信息

Sektion Kinder- und Neuroorthopädie, Klinik für Kinderchirurgie, Kliniken Dritter Orden gGmbH, Menzinger Str. 44, 80638, München, Deutschland.

出版信息

Radiologie (Heidelb). 2023 Oct;63(10):715-721. doi: 10.1007/s00117-023-01202-y. Epub 2023 Sep 11.

Abstract

When a child with a hip problem is clinically evaluated, it is usually possible to make a presumptive diagnosis which is subsequently confirmed. The most important tool for confirmation in pediatric hip disorders is radiological imaging. Vice versa changes on sonogram, native X‑ray or magnetic resonance images (MRI) can often only be interpreted when the history and current clinical findings are known. In this constellation, it is desirable that all colleagues who are confronted with a child's hip problem know the most common and important pediatric hip disorders and use the same terminology. The aim of this article is to present a short outline of the pathogenesis and clinical aspects of congenital and neurogenic hip dysplasia, coxitis fugax, septic coxitis, Perthes' disease, infantile and adolescent femoroacetabular impingement, apophysiolyses, and slipped capital femoral epiphysis.

摘要

当对患有髋关节问题的儿童进行临床评估时,通常可以做出初步诊断,随后再加以确诊。在小儿髋关节疾病的确诊中,最重要的工具是放射影像学检查。反之,超声、X线平片或磁共振成像(MRI)上的改变,通常只有在了解病史和当前临床检查结果后才能得到解读。在这种情况下,所有面对儿童髋关节问题的同事都应了解最常见和最重要的小儿髋关节疾病,并使用相同的术语,这是很有必要的。本文旨在简要概述先天性和神经源性髋关节发育不良、暂时性滑膜炎、化脓性髋关节炎、佩特兹病、婴幼儿及青少年股骨髋臼撞击症、骨骺分离以及股骨头骨骺滑脱的发病机制和临床情况。

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