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影像学检查在股骨髋臼撞击症和髋关节发育不良术前评估中的应用:确定最佳实践。

Imaging Modalities in the Preoperative Assessment of Femoroacetabular Impingement and Hip Dysplasia: Determining Best Practices.

机构信息

Department of Orthopaedic Surgery, University of Missouri, Columbia, Missouri.

Department of Radiology, University of Missouri, Columbia, Missouri.

出版信息

JBJS Rev. 2024 Jul 11;12(7). doi: e24.00070. eCollection 2024 Jul 1.

DOI:10.2106/JBJS.RVW.24.00070
PMID:38991089
Abstract

» In the last decade, significant progress has been made in understanding hip pain, especially related to femoroacetabular impingement (FAI) and hip dysplasia (HD), which collectively affect over 20% of the population.» Preoperative imaging, including plain radiographs, computed tomography (CT), magnetic resonance imaging (MRI), and ultrasound (US), plays a pivotal role in diagnosing FAI and HD. Imaging precision, standardized techniques, and accurate interpretation are crucial for effective treatment planning.» The continual advancements in imaging techniques, especially seen in MRI (arthrograms, application of leg traction, and delayed gadolinium-enhanced MRI of cartilage), represent important strides in the precise assessment of pathology associated with FAI and HD.» By incorporating these advancements into routine imaging protocols, healthcare providers can ensure a comprehensive understanding of hip joint dynamics, enabling more accurate diagnosis and effective management strategies for patients with FAI and HD, ultimately leading to improved clinical outcomes.

摘要

» 在过去的十年中,人们对髋关节疼痛有了更深入的了解,尤其是与股骨髋臼撞击症(FAI)和髋关节发育不良(HD)相关的疼痛,这两种疾病共同影响了超过 20%的人群。» 术前影像学检查,包括 X 线平片、计算机断层扫描(CT)、磁共振成像(MRI)和超声(US),在诊断 FAI 和 HD 方面发挥着关键作用。影像学的精确性、标准化技术和准确的解读对于有效的治疗计划至关重要。» 影像学技术的不断进步,特别是 MRI 技术(关节造影、腿部牵引的应用和延迟钆增强 MRI 软骨成像),在精确评估与 FAI 和 HD 相关的病理学方面取得了重要进展。» 通过将这些进步纳入常规影像学检查方案,医疗保健提供者可以全面了解髋关节动力学,为 FAI 和 HD 患者提供更准确的诊断和有效的管理策略,最终改善临床结果。

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