Huurman W W, Jacobsen S T
Clin Orthop Relat Res. 1985 Apr(194):81-6.
The hip is involved in up to 80% of individuals with a diagnosis of arthrogryposis multiplex congenita. The hip deformity consists of contracture with or without dislocation. Isolated contracture can usually be treated conservatively by manipulation and splinting, only occasionally requiring operative intervention. Dislocation is as frequently bilateral as unilateral. Bilateral hip dislocations are best left unreduced; only accompanying contractures should be treated. The unilateral dislocation should be treated aggressively, because persistent dislocation will give rise to pelvic obliquity and scoliosis. Open reduction is always necessary.
在诊断为先天性多发性关节挛缩症的患者中，高达80%的人髋关节受累。髋关节畸形包括挛缩伴或不伴脱位。单纯挛缩通常可通过手法和夹板进行保守治疗，仅偶尔需要手术干预。脱位双侧与单侧的情况一样常见。双侧髋关节脱位最好不予复位；仅治疗伴随的挛缩即可。单侧脱位应积极治疗，因为持续脱位会导致骨盆倾斜和脊柱侧弯。总是需要进行切开复位。
