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[髋关节病骨改变的放射学分析]

[Radiologic analysis of osseous changes in coxarthrosis].

作者信息

Jovanić S, Wertheimer B, Grdić P, Mikolasević I

机构信息

Odjel za ortopediju Klinicke bolnice, Osijek.

出版信息

Reumatizam. 1993;40(1):5-9.

PMID:7481125
Abstract

Morphologic and osteogenetic changes of the hip joint in patients with coxarthrosis were studied. Examination included 224 patients treated and operated on Department of Orthopaedics, Clinic Hospital Osijek. Coxarthrosis was proved in 331 hips, 183 cases (55,29%) referred to a secondary and 148 844,71%) to primary arthrosis. Osteogenetic changes on the head of femur were found in 148 x-rays (44,71%). The upper osteophyte of the head of femur was found in 79 x-rays of the hip (22,36%) but lower osteophyte of the head of femur only in 26 cases (7,85%). In 48 x-rays (14,50%) osteophytes were found both on the upper and lower sides of the head of femur. 217 x-rays of hips (65,56%) proved the existence of medial cervial osteophyte, according to frequency mostly type 1. Osteophyte of the roof of acetabulum were expressed on 158 x-rays (44,73). The double bottom of the acetabulum was studied on several measurement levels and showed from 0,24 to 2,35 mm observed from cranial to caudal measurement levels. The studies proved that the patients with coxarthrosis experienced a number of morphological and osteogenetic changes on the head and neck of femur as well as on the acetabulum. Their features on x-rays will depend on the cause and degree of the development of coxarthrosis.

摘要

对髋关节骨性关节炎患者髋关节的形态学和骨生成变化进行了研究。检查包括在奥西耶克临床医院骨科接受治疗和手术的224例患者。在331个髋关节中证实存在骨性关节炎,其中183例(55.29%)为继发性,148例(44.71%)为原发性关节炎。在148张x光片中发现股骨头上有骨生成变化(44.71%)。在79张髋关节x光片中发现股骨头上部骨赘(22.36%),但仅在26例(7.85%)中发现股骨头下部骨赘。在48张x光片(14.50%)中,在股骨头的上下两侧均发现骨赘。217张髋关节x光片(65.56%)证实存在内侧颈骨赘,根据频率大多为1型。髋臼顶骨赘在158张x光片中表现明显(44.73%)。在几个测量层面上对髋臼双底进行了研究,从颅侧到尾侧测量层面观察到的厚度为0.24至2.35毫米。研究证明,髋关节骨性关节炎患者的股骨头颈以及髋臼出现了一些形态学和骨生成变化。它们在x光片上的特征将取决于骨性关节炎的病因和发展程度。

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[Transverse skeletal axes of the lower extremity in coxarthrosis].[髋关节炎中下肢的横向骨骼轴线]
Z Orthop Ihre Grenzgeb. 1991 May-Jun;129(3):255-9. doi: 10.1055/s-2008-1040192.

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