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先天性髋关节脱位与计算机断层扫描

Congenital dislocation of the hip and computerised axial tomography.

作者信息

Edelson J G, Hirsch M, Weinberg H, Attar D, Barmeir E

出版信息

J Bone Joint Surg Br. 1984 Aug;66(4):472-8. doi: 10.1302/0301-620X.66B4.6746676.

Abstract

CT scans of 18 hips with typical congenital dislocation have been studied in 16 children. These show that the common position of dislocation is lateral, superior and slightly anterior, and that a "false acetabulum" can be distinguished even in young children. A defect in the posterior ischium causing distortion of the acetabulum was also present in most cases. The cartilage and the acetabular contents were well shown. Positions of reduction and the anteversion of the acetabulum and the femoral neck were studied. Hypotheses are presented on the mode of dislocation and on the cause of the pathological changes.

摘要

对16名儿童的18个典型先天性髋关节脱位的髋关节进行了CT扫描研究。这些扫描结果显示,脱位的常见位置是外侧、上方且略偏前,并且即使在幼儿中也能区分出“假髋臼”。大多数病例还存在坐骨后部的缺陷,导致髋臼变形。软骨和髋臼内容物显示良好。研究了复位位置以及髋臼和股骨颈的前倾情况。提出了关于脱位方式和病理变化原因的假说。

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