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青少年特发性脊柱侧弯女孩的髋关节内收不对称

Hip Adduction Asymmetry in Girls with Adolescent Idiopathic Scoliosis.

作者信息

Kurzeja Piotr, Szurmik Tomasz, Bibrowicz Karol, Prusak Jarosław, Gąsienica-Walczak Bartłomiej, Ogrodzka-Ciechanowicz Katarzyna

机构信息

Institute of Health Sciences, University of Applied Sciences in Nowy Targ, 34-400 Nowy Targ, Poland.

Faculty of Arts and Educational Science, University of Silesia, 43-400 Cieszyn, Poland.

出版信息

J Clin Med. 2025 Apr 22;14(9):2864. doi: 10.3390/jcm14092864.

Abstract

: The aim of the study was to assess the difference in hip adduction in extended joint position in girls with adolescent idiopathic scoliosis (AIS). : The study group consisted of 69 girls aged 9 to 14 years. The observational cross-sectional study involved interview, the clinical examination (body weight measurement, measuring the body height in an upright position, assessment of the alignment of the spinous processes of the thoracic and lumbar vertebrae, assessment of the location of selected anatomical landmarks of the torso), physical examination in which the shape of the ridge surface was analyzed with the use of the photogrammetric method and the moiré effect projection and tests (test of adduction of both hips). : Significant differences were noted in the values of abduction for the left and right hip. In the studied group, the mean adduction angle for the left hip was 26.3° and only 19.2° for the right hip. The difference was statistically significant ( < 0.001). Similarly, significant relationships were noted by the authors with reference to values of the difference in abduction for both hips and the sizes of thoracic ( = 00012) and lumbar curvature ( < 0.0001). A significant relationship was also noted between the values of lumbar curvature and the size of adduction for the right hip ( < 0.0001). : Abductive contracture of the right hip was noted in the examined girls with AIS. The degree of scoliotic deformity of the lumbar spine is related to the size of the abductive contracture of the right hip joint.

摘要

本研究的目的是评估青少年特发性脊柱侧凸(AIS)女孩在关节伸展位时髋关节内收的差异。研究组由69名9至14岁的女孩组成。这项观察性横断面研究包括访谈、临床检查(体重测量、直立位身高测量、胸腰椎棘突排列评估、躯干选定解剖标志位置评估)、使用摄影测量法和莫尔效应投影分析嵴表面形状的体格检查以及测试(双髋内收测试)。左右髋关节外展值存在显著差异。在研究组中,左髋平均内收角度为26.3°,右髋仅为19.2°。差异具有统计学意义(<0.001)。同样,作者发现双髋外展差异值与胸弯(=0.0012)和腰弯大小(<0.0001)之间存在显著相关性。腰椎曲度值与右髋内收大小之间也存在显著相关性(<0.0001)。在接受检查的AIS女孩中发现了右髋外展挛缩。腰椎脊柱侧凸畸形程度与右髋关节外展挛缩大小有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/748a/12072772/4f88a2dae2a6/jcm-14-02864-g001.jpg

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