[Pediatric Hip Disorders].

Journal of the Korean Society of Radiology Pub Date : 2024-05-01 Epub Date: 2024-05-23 DOI:10.3348/jksr.2024.0021
Seunghyun Lee, Young Hun Choi, Jung-Eun Cheon, Seul Bi Lee, Yeon Jin Cho
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Abstract

Developmental dysplasia of the hip is a condition characterized by hip joint instability due to acetabular dysplasia in infancy, necessitating precise ultrasound examination. Legg-Calvé-Perthes disease is caused by a temporary disruption in blood flow to the femoral head during childhood, progressing through avascular, fragmentation, re-ossification, and residual stages. Slipped capital femoral epiphysis is a condition where the femoral head shifts medially along the epiphyseal line during adolescence due to stress, such as weight-bearing. Differentiating between transient hip synovitis and septic arthritis may require joint fluid aspiration. Osteomyelitis can be associated with soft tissue edema and osteolysis. When multiple lesions are present, it is essential to distinguish between Langerhans cell histiocytosis and metastatic neuroblastoma. This review will introduce imaging techniques and typical findings for these conditions.

[小儿髋关节疾病]
髋关节发育不良是一种以婴儿期髋臼发育不良导致髋关节不稳定为特征的疾病,需要进行精确的超声波检查。Legg-Calvé-Perthes 病是由儿童时期股骨头血流暂时中断引起的,经过无血管、碎裂、再骨化和残留等阶段。股骨头骺滑脱是指股骨头在青春期由于负重等压力而沿骺线向内侧移位。区分一过性髋关节滑膜炎和化脓性关节炎可能需要进行关节液抽吸。骨髓炎可伴有软组织水肿和骨溶解。当出现多个病灶时,必须区分朗格汉斯细胞组织细胞增生症和转移性神经母细胞瘤。本综述将介绍这些病症的成像技术和典型发现。
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