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小儿髋关节疾病与正常变异的影像学表现

Imaging of Disease and Normal Variant Patterns in Pediatric Hips.

机构信息

Department of Radiology, Musculoskeletal Imaging and Intervention, UW Health: University of Wisconsin Hospitals and Clinics, Madison, Wisconsin.

出版信息

Semin Musculoskelet Radiol. 2024 Aug;28(4):447-461. doi: 10.1055/s-0044-1786153. Epub 2024 Jul 29.

Abstract

The pediatric hip undergoes significant changes from infancy through adolescence. Proper maturation is crucial for the development of a stable and functional hip joint. Imaging interpretation of the pediatric hip requires distinguishing normal variants and maturation patterns from pathology. We review femoral ossification centers, variants, and conditions that affect the proximal femur, such as Legg-Calvé-Perthes disease; the acetabulum, such as developmental hip dysplasia; the acetabular labrum, such as femoroacetabular impingement; and synovial pathology in children through adolescence. Understanding the spectrum of hip conditions and using advanced imaging techniques are essential for the accurate diagnosis and effective management of pediatric hip disorders.

摘要

小儿髋关节在婴儿期至青春期经历显著变化。适当的成熟对于髋关节的稳定和功能发展至关重要。小儿髋关节的影像学解读需要将正常变异和成熟模式与病理区分开来。我们回顾了股骨的骨化中心、变异和影响股骨近端的疾病,如 Legg-Calvé-Perthes 病;髋臼,如发育性髋关节发育不良;髋臼唇,如股骨髋臼撞击症;以及儿童和青少年的滑膜病变。了解髋关节疾病的范围并使用先进的影像学技术对于小儿髋关节疾病的准确诊断和有效管理至关重要。

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