Lönnerholm T
Acta Radiol Diagn (Stockh). 1980;21(2):279-92. doi: 10.1177/028418518002102b05.
A method by which bilateral hip arthrography was performed under general anaesthesia in 130 infants and children 1 month to 7 years of age is described. Significant contractures of the adductor muscles had been corrected before the examination. Most of the children were girls with unilateral congenital idiopathic hip instability detected before the age of one year. From films exposed in standardized projections valuable information was obtained about the configuration of the joint cavity and the size and shape of the femoral head. Criteria for normal appearance in infants of ages 2 to 12 months are presented. More reliable details on the relation between the articular surfaces, the radiographic anatomy of the acetabulum and the distribution of the contrast medium were yielded by stereoradiography. Closed reduction was usually accomplished successfully during the arthrography, which made beginning of definitive treatment under the same anaesthesia possible.
本文描述了一种在全身麻醉下对130名1个月至7岁婴幼儿进行双侧髋关节造影的方法。检查前已矫正内收肌的严重挛缩。大多数儿童为女孩，在1岁前被检测出单侧先天性特发性髋关节不稳定。从标准化投照的X线片中可获得有关关节腔形态以及股骨头大小和形状的有价值信息。文中给出了2至12个月婴儿正常表现的标准。立体放射摄影提供了有关关节面之间关系、髋臼的放射学解剖结构以及造影剂分布的更可靠细节。在造影过程中通常能成功完成闭合复位，这使得在同一麻醉下开始确定性治疗成为可能。
