Merk H, Wissel H, Machner A, Pap G
Orthopädische Universitätsklinik Magdeburg.
Z Orthop Ihre Grenzgeb. 1997 Mar-Apr;135(2):112-5. doi: 10.1055/s-2008-1039565.
The relevance of clinical signs of infant hip dysplasia and the importance of a sonographic newborn-hip screening are often discussed. Between 1984 and 1990 at our department 6532 infant hips were examined both clinically and sonographically. Sonographic hip findings were pathological in 71.7% of the hips with positive clinical Roser-Ortolani sign and in 100% of the hips with positive Hilgenreiner sign. In contrast, pathological hip types according to Graf were seen only in 18% of the hips with limitations of the abductions of the hip joint. Examining other clinical signs for infant hip dysplasia within this study, as well we can conclude, that only the Roser-Ortolani sign and that of Hilgenreiner showed a high specificity for infant hip dysplasia, while most of the clinical signs e.g. limitation of abduction in the hip joint are rather unspecific.
婴儿髋关节发育不良临床体征的相关性以及超声新生儿髋关节筛查的重要性经常被讨论。1984年至1990年间，我们科室对6532例婴儿髋关节进行了临床和超声检查。在临床Roser-Ortolani征阳性的髋关节中，71.7%的髋关节超声检查结果为病理性；在Hilgenreiner征阳性的髋关节中，100%的髋关节超声检查结果为病理性。相比之下，根据Graf分类，仅在髋关节外展受限的髋关节中，18%的髋关节存在病理性髋关节类型。在本研究中检查婴儿髋关节发育不良的其他临床体征时，我们也可以得出结论，只有Roser-Ortolani征和Hilgenreiner征对婴儿髋关节发育不良具有较高的特异性，而大多数临床体征，如髋关节外展受限，特异性较低。
