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[小儿髋关节疾病]

[Pediatric Hip Disorders].

作者信息

Lee Seunghyun, Choi Young Hun, Cheon Jung-Eun, Lee Seul Bi, Cho Yeon Jin

出版信息

J Korean Soc Radiol. 2024 May;85(3):531-548. doi: 10.3348/jksr.2024.0021. Epub 2024 May 23.

Abstract

Developmental dysplasia of the hip is a condition characterized by hip joint instability due to acetabular dysplasia in infancy, necessitating precise ultrasound examination. Legg-Calvé-Perthes disease is caused by a temporary disruption in blood flow to the femoral head during childhood, progressing through avascular, fragmentation, re-ossification, and residual stages. Slipped capital femoral epiphysis is a condition where the femoral head shifts medially along the epiphyseal line during adolescence due to stress, such as weight-bearing. Differentiating between transient hip synovitis and septic arthritis may require joint fluid aspiration. Osteomyelitis can be associated with soft tissue edema and osteolysis. When multiple lesions are present, it is essential to distinguish between Langerhans cell histiocytosis and metastatic neuroblastoma. This review will introduce imaging techniques and typical findings for these conditions.

摘要

发育性髋关节发育不良是一种因婴儿期髋臼发育不良导致髋关节不稳定的病症,需要进行精确的超声检查。Legg-Calvé-Perthes病是由儿童期股骨头血液供应暂时中断引起的,历经缺血、碎裂、再骨化和残留阶段。股骨头骨骺滑脱是一种在青春期由于负重等压力导致股骨头沿骨骺线向内侧移位的病症。区分暂时性髋关节滑膜炎和化脓性关节炎可能需要进行关节液抽吸。骨髓炎可伴有软组织水肿和骨质溶解。当出现多个病灶时,区分朗格汉斯细胞组织细胞增多症和转移性神经母细胞瘤至关重要。本综述将介绍这些病症的影像学技术和典型表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56d4/11166597/ac25c1a7eee8/jksr-85-531-g001.jpg

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