Crawford A H, Carothers T A
Clin Orthop Relat Res. 1982 Jan-Feb(162):54-60.
One hundred forty-six arthrograms were performed in 130 children. Forty-two studies were bilateral, constituting a total of 188 injected hips. The majority of the studies were done for congenital dislocation of the hip, Legg-Calvé-Perthes disease and septic pyarthrosis. Using the medial approach and fluoroscopic control, only three attempts were unsuccessful. None of the hips which were subsequently explored surgically showed ill effects from the injection. The addition of simulated weight-bearing and abducted and internally rotated views provides more accurate information in determining adequacy of femoral head containment.
对130名儿童进行了146次关节造影。42项检查为双侧检查,共计188个注射髋关节。大多数检查是针对先天性髋关节脱位、Legg-Calvé-Perthes病和化脓性关节炎进行的。采用内侧入路并在荧光透视控制下,仅有3次穿刺未成功。随后接受手术探查的髋关节均未显示出注射带来的不良影响。增加模拟负重以及外展和内旋位视图,能在确定股骨头包容是否充分方面提供更准确的信息。