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肌肉骨骼注射治疗神经肌肉性髋关节发育不良患者的姑息疗法：我的操作方法。

Musculoskeletal injections for palliative treatment of neuromuscular hip dysplasia patients: how I do it.

机构信息

Department of Orthopedic Surgery, Texas Children's Hospital, Baylor College of Medicine, Houston, TX, USA.

Department of Orthopedic Surgery, Wayne State University, Detroit, MI, USA.

出版信息

Pediatr Radiol. 2024 May;54(5):693-701. doi: 10.1007/s00247-024-05858-z. Epub 2024 Jan 30.

DOI:10.1007/s00247-024-05858-z
PMID:38289399
Abstract

This review describes our institution's standardized technique as well as potential pitfalls for therapeutic steroid injections in children with symptomatic neuromuscular hip dysplasia. Symptomatic, painful neuromuscular hip dysplasia can dramatically affect quality of life. Steroid injections are used to identify the source of perceived pain, temporarily treat pain while awaiting surgical intervention, or for therapeutic management for nonoperative hip joints.

摘要

这篇综述描述了我们机构在为患有症状性神经肌肉性髋关节发育不良的儿童进行治疗性类固醇注射时的标准化技术以及潜在的陷阱。症状性、疼痛性神经肌肉性髋关节发育不良会极大地影响生活质量。类固醇注射用于确定感知疼痛的来源，在等待手术干预时暂时缓解疼痛，或用于非手术髋关节的治疗性管理。

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Musculoskeletal injections for palliative treatment of neuromuscular hip dysplasia patients: how I do it.肌肉骨骼注射治疗神经肌肉性髋关节发育不良患者的姑息疗法：我的操作方法。
Pediatr Radiol. 2024 May;54(5):693-701. doi: 10.1007/s00247-024-05858-z. Epub 2024 Jan 30.
2
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本文引用的文献

1
Hip reconstruction in cerebral palsy: Lessons from a single center and 137 hips.脑瘫患者的髋关节重建：来自单一中心及137例髋关节的经验教训
J Child Orthop. 2023 Sep 5;17(5):469-480. doi: 10.1177/18632521231196846. eCollection 2023 Oct.
2
Outcomes of intraarticular triamcinolone acetonide injection in children with non-systemic juvenile idiopathic arthritis.关节内曲安奈德注射治疗非全身型幼年特发性关节炎患儿的疗效。
Clin Rheumatol. 2023 Jun;42(6):1665-1674. doi: 10.1007/s10067-023-06569-w. Epub 2023 Mar 9.
3
Editorial Commentary: Periarticular and Intra-Articular Injections May Do the Right Thing for Patients' Pain but May Be the Wrong Thing for Their Articular Cartilage: Be Careful.
社论评论：关节周围和关节内注射可能对患者的疼痛有好处，但可能对他们的关节软骨不利：要小心。
Arthroscopy. 2022 Jun;38(6):1996-1998. doi: 10.1016/j.arthro.2022.03.003.
4
Parents and Caregivers Satisfaction After Palliative Treatment of Spastic Hip Dislocation in Cerebral Palsy.脑瘫患儿痉挛性髋关节脱位姑息治疗后家长及照料者的满意度
Front Neurol. 2021 Mar 18;12:635894. doi: 10.3389/fneur.2021.635894. eCollection 2021.
5
Hip pain in adolescents with cerebral palsy: a population-based longitudinal study.青少年脑瘫患者的髋关节疼痛：一项基于人群的纵向研究。
Dev Med Child Neurol. 2021 May;63(5):601-607. doi: 10.1111/dmcn.14782. Epub 2021 Jan 3.
6
Cerebral Palsy: An Overview.脑性瘫痪：概述。
Am Fam Physician. 2020 Feb 15;101(4):213-220.
7
Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought?髋关节和膝关节腔内皮质类固醇注射：或许并不像我们想象的那样安全？
Radiology. 2019 Dec;293(3):656-663. doi: 10.1148/radiol.2019190341. Epub 2019 Oct 15.
8
Natural History of Spastic Hip Disease.痉挛性髋部疾病的自然病史
J Pediatr Orthop. 2019 Jul;39(Issue 6, Supplement 1 Suppl 1):S33-S37. doi: 10.1097/BPO.0000000000001347.
9
Hip Surveillance in Children With Cerebral Palsy.脑瘫儿童的髋关节监测。
J Am Acad Orthop Surg. 2019 Oct 15;27(20):760-768. doi: 10.5435/JAAOS-D-18-00184.
10
Management of Neuromuscular Hip Dysplasia in Children With Cerebral Palsy: Lessons and Challenges.脑瘫患儿神经肌肉性髋关节发育不良的管理：经验与挑战
J Pediatr Orthop. 2018 Jul;38 Suppl 1:S21-S27. doi: 10.1097/BPO.0000000000001159.