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髋关节后脱位的放射学表现

Radiological aspects of posterior dislocation of the hip.

作者信息

Whitehouse G H

出版信息

Clin Radiol. 1978 Jul;29(4):431-41. doi: 10.1016/s0009-9260(78)80106-8.

Abstract

Ninety-six cases of traumatic dislocation of the hip were admitted to one general hospital over a 10-year period. Eighty of these (83.3%) were posterior dislocations, usually with associated acetabular fractures (81.25%). The aetiology and various complications of posterior hip dislocation are described adn discussed, together with the radiographic management. Radiologists should take special care to exclude associated femoral and pelvic fractures both within and beyond the acetabulum. Fractures of the ipsilateral femur associated with posterior hip dislocation usually involve the femoral head and the radiological appearances and assessment of this injury is important. Ipsilateral femoral shaft fractures are less frequent, but it may be the hip dislocation which is then overlooked unless there is an awareness of the combined injury.

摘要

在10年期间,一家综合医院收治了96例创伤性髋关节脱位患者。其中80例(83.3%)为后脱位,通常伴有髋臼骨折(81.25%)。本文描述并讨论了后髋关节脱位的病因及各种并发症,以及影像学处理方法。放射科医生应特别注意排除髋臼内外相关的股骨和骨盆骨折。与后髋关节脱位相关的同侧股骨骨折通常累及股骨头,对这种损伤的影像学表现及评估很重要。同侧股骨干骨折较少见,但除非意识到存在合并伤,否则髋关节脱位可能会被忽视。

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