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发育性髋关节发育不良婴儿不对称皮肤褶皱的解读与自然病史

Interpretation and Natural History of Asymmetric Skin Folds in Infants With Developmental Dysplasia of the Hip.

作者信息

Samelis Panagiotis V, Pechlivanidou Evmorfia, Vasileiou George, Artsitas Dimitrios, Kolovos Panagiotis

机构信息

Orthopaedics, Apostolos Pavlos Trauma Hospital, Athens, GRC.

Orthopaedics, Orthopaedic Research and Education Center, Attikon University Hospital, Athens, GRC.

出版信息

Cureus. 2024 Jul 19;16(7):e64926. doi: 10.7759/cureus.64926. eCollection 2024 Jul.

DOI:10.7759/cureus.64926
PMID:39156254
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11330646/
Abstract

The association between asymmetric skin folds (ASFs) of the gluteal, groin, or thigh regions and ipsilateral developmental dysplasia of the hip (DDH) has not been elucidated yet. Why are ASFs formed in some infants with DDH? Do DDH-associated ASFs persist during childhood and adulthood? Is it possible for ASFs to emerge without DDH pathology? Three cases of acute and chronic hip pathology in adults are presented in an attempt to explain the formation and the natural history of ASFs in infants with DDH. It is suggested that ASFs are formed when the excess soft tissues of the thigh shrink over a short femur. On the other hand, ASFs disappear after the length of the thigh is restored and the soft tissues of the thigh are re-stretched. This telescoping mechanism of the formation and disappearance of ASFs is applicable regardless of the underlying hip pathology or the age of the patient.

摘要

臀、腹股沟或大腿区域的不对称皮肤褶皱(ASF)与同侧发育性髋关节发育不良(DDH)之间的关联尚未阐明。为什么有些患有DDH的婴儿会形成ASF?与DDH相关的ASF在儿童期和成年期会持续存在吗?ASF有可能在没有DDH病理的情况下出现吗?本文介绍了三例成人急性和慢性髋关节病理病例,试图解释患有DDH的婴儿中ASF的形成及其自然病程。研究表明,当大腿多余的软组织在短股骨上收缩时会形成ASF。另一方面,当大腿长度恢复且大腿软组织重新拉伸后,ASF会消失。ASF形成和消失的这种伸缩机制适用于任何潜在的髋关节病理情况或患者年龄。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6c9/11330646/a50adb5f919a/cureus-0016-00000064926-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6c9/11330646/ea5be2aaff32/cureus-0016-00000064926-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6c9/11330646/b8ad27229899/cureus-0016-00000064926-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6c9/11330646/a940842d79f9/cureus-0016-00000064926-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6c9/11330646/d32ebbe99852/cureus-0016-00000064926-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6c9/11330646/3d9183ebeda8/cureus-0016-00000064926-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6c9/11330646/840784e33557/cureus-0016-00000064926-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6c9/11330646/a50adb5f919a/cureus-0016-00000064926-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6c9/11330646/ea5be2aaff32/cureus-0016-00000064926-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6c9/11330646/b8ad27229899/cureus-0016-00000064926-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6c9/11330646/a940842d79f9/cureus-0016-00000064926-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6c9/11330646/d32ebbe99852/cureus-0016-00000064926-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6c9/11330646/3d9183ebeda8/cureus-0016-00000064926-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6c9/11330646/840784e33557/cureus-0016-00000064926-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6c9/11330646/a50adb5f919a/cureus-0016-00000064926-i07.jpg

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本文引用的文献

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Surgeon. 2021 Apr;19(2):77-86. doi: 10.1016/j.surge.2020.02.006. Epub 2020 Apr 3.
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Significance of Asymmetry of Groin and Thigh Skin Creases in Developmental Dysplasia of the Hip Revisited: Results of a Comparative Study.腹股沟和大腿皮肤褶皱不对称在发育性髋关节发育不良中的意义:一项对比研究的结果。
J Pediatr Orthop. 2020 Sep;40(8):e761-e765. doi: 10.1097/BPO.0000000000001531.
3
Should paediatricians initiate orthopaedic hip dysplasia referrals for infants with isolated asymmetric skin folds?
儿科医生是否应该为仅有不对称皮肤褶皱的婴儿转诊至骨科进行髋关节发育不良评估?
J Child Orthop. 2019 Dec 1;13(6):593-599. doi: 10.1302/1863-2548.13.190090.
4
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5
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