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[婴儿期髋臼发育不良的诊断]

[Diagnosis of acetabular dysplasia in infancy].

作者信息

Komprda J

出版信息

Z Orthop Ihre Grenzgeb. 1984 Nov-Dec;122(6):754-9. doi: 10.1055/s-2008-1045062.

Abstract

In 98 infants at the age of 3-4 months acetabular dysplasia without decentration was diagnosed by means of combined method of Schultheiss/wedge-shaped segments/ and Doberti and Manhood/acetabular defects/. This method was confronted with the classical procedure using measurements of acetabular index and with other radiological and clinical signs. It is concluded that the only reliable sign of acetabular dysplasia at the age of 3-4 months is the disturbance of ossification at the end of the acetabular roof in the sense of partial or total defects. All other radiological as well as clinical signs including acetabular index values, asymmetry of gluteal folds and limitation of abduction in the hip joints are shown to be of little or no importance.

摘要

采用舒尔特海斯/楔形节段/法与多贝蒂和曼胡德/髋臼缺损/法相结合的方法,对98例3 - 4个月大的婴儿进行了髋臼发育不良且无脱位的诊断。该方法与使用髋臼指数测量的经典方法以及其他放射学和临床体征进行了对比。得出的结论是,在3 - 4个月大时,髋臼发育不良的唯一可靠体征是髋臼顶末端骨化紊乱,表现为部分或完全缺损。所有其他放射学和临床体征,包括髋臼指数值、臀褶不对称以及髋关节外展受限,都显示出重要性不大或根本不重要。

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