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先天性髋关节脱位早期识别中的问题

Problems in the early recognition of congenital hip dislocation.

作者信息

Walker G

出版信息

Br Med J. 1971 Jul 17;3(5767):147-8. doi: 10.1136/bmj.3.5767.147.

DOI:10.1136/bmj.3.5767.147
PMID:5557862
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1800220/
Abstract

Seven cases of infants whose hips were clinically normal at birth, and in whom hip dislocation was later recognized, are reported. In spite of the widespread practice of routine examination of the hips of newborn babies, infants and young children are still presenting with congenital dislocation of the hip. This is probably owing to there being two aetiological types. Every opportunity to re-examine the hips of children under 2 or even 3 years of age must be taken and a high level of suspicion maintained.

摘要

报告了7例出生时临床检查髋关节正常但后来被诊断为髋关节脱位的婴儿病例。尽管对新生儿、婴儿和幼儿的髋关节进行常规检查的做法很普遍,但仍有儿童出现先天性髋关节脱位。这可能是由于存在两种病因类型。必须抓住每一个机会对2岁甚至3岁以下儿童的髋关节进行复查,并保持高度怀疑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08d0/1800220/6431545c35a1/brmedj02657-0031-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08d0/1800220/6431545c35a1/brmedj02657-0031-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08d0/1800220/6431545c35a1/brmedj02657-0031-a.jpg

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1
Problems in the early recognition of congenital hip dislocation.先天性髋关节脱位早期识别中的问题
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[Value of ultrasonic diagnosis in the evaluation of hip dislocation in neonates and infants. Apropos of 340 cases].[超声诊断在评估新生儿及婴儿髋关节脱位中的价值。附340例报告]
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引用本文的文献

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Auditing hip ultrasound screening of infants at increased risk of developmental dysplasia of the hip.对发育性髋关节发育不良风险增加的婴儿进行髋关节超声筛查审计。
Arch Dis Child. 2005 Jun;90(6):579-81. doi: 10.1136/adc.2003.033597.
2
How successful is screening for congenital disease of the hip?髋关节先天性疾病筛查的成功率如何?
Am J Public Health. 1981 Dec;71(12):1378-83. doi: 10.2105/ajph.71.12.1378.
3
Congenital dislocation of the hip: early and late diagnosis and management compared.先天性髋关节脱位:早期与晚期诊断及治疗对比

本文引用的文献

1
Diagnosis and treatment of congenital dislocation of the hip hoint in the new-born.新生儿髋关节先天性脱位的诊断与治疗。
J Bone Joint Surg Br. 1962 May;44-B:284-91. doi: 10.1302/0301-620X.44B2.284.
2
Acetabular dysplasia and familial joint laxity: two etiological factors in congenital dislocation of the hip. A review of 589 patients and their families.髋臼发育不良与家族性关节松弛:先天性髋关节脱位的两个病因。对589例患者及其家族的回顾。
J Bone Joint Surg Br. 1970 Nov;52(4):704-16.
Arch Dis Child. 1985 May;60(5):407-14. doi: 10.1136/adc.60.5.407.
4
Congenital dislocation of the hip--prognostic implications of early diagnosis.先天性髋关节脱位——早期诊断的预后意义
West J Med. 1979 Aug;131(2):98-103.