Théron J
Radiology. 1977 Sep;124(3):649-57. doi: 10.1148/124.3.649.
The vessels of the hip were studied by superselective injection of the various branches supplying it. The medial and lateral circumflex, obturator, and superior and inferior gluteal arteries were catheterized using a left axillary or brachial approach. The femoral head is supplied primarily by the capsular arteries arising from the medial circumflex artery. Good visualization of the superior capsular arteries is obtained by superselective injection with subtraction. Occlusion of these arteries is shown in the early phase of idiopathic necrosis of the femoral head. The capsular arteries may or may not be revascularized in later phases of this condition, whose evolution is discussed and correlated with the degree of revascularization.
通过对供应髋关节的各个分支进行超选择性注射来研究髋关节的血管。采用左腋动脉或肱动脉入路对旋股内侧和外侧动脉、闭孔动脉以及臀上和臀下动脉进行插管。股骨头主要由旋股内侧动脉发出的关节囊动脉供血。通过超选择性注射减影可清晰显示上关节囊动脉。在股骨头特发性坏死的早期可见这些动脉闭塞。在这种疾病的后期,关节囊动脉可能会或不会重新血管化,本文讨论了其演变过程并将其与重新血管化程度相关联。