Samson M, Lequesne M
Service de Rhumatologie, Hôpital Léopold Bellan, Paris.
Ann Radiol (Paris). 1993;36(1):58-61.
Certain atypical forms of osteoarthritis of the hip are misleading: forms with very severe pain, forms with pain predominantly in the sitting position, forms with disproportionate pain. These atypical features can sometimes be explained by certain anatomical arrangements: superomedial narrowing over an aggressive double line, posterior osteoarthritis of the hip which can only be demonstrated on a false lateral view in the form of posteroinferior narrowing with its corollaries: anterosuperior diastasis and marked osteophytes of the posterior horn appearing to advanced underneath the femoral head on the lateral view. These atypical forms frequently only last several months or years. Posterior osteoarthritis of the hip has a less severe and slower course than the usual forms with superior narrowing.
疼痛非常严重的形式、主要在坐姿时疼痛的形式、疼痛程度不成比例的形式。这些非典型特征有时可以通过某些解剖结构来解释:在侵蚀性双线之上的上内侧变窄、髋关节后骨关节炎,其仅在假侧位片上表现为后下变窄及其相关表现:前上分离以及后角明显的骨赘,在侧位片上似乎在股骨头下方进展。这些非典型形式通常仅持续数月或数年。与通常的上侧变窄形式相比,髋关节后骨关节炎的病程较轻且进展较慢。