屈曲坐姿全髋关节置换术后影像学半脱位3例报告。

Q4 Medicine

JBJS case connector Pub Date : 2025-01-09 eCollection Date: 2025-01-01 DOI:10.2106/JBJS.CC.24.00460

Youngwoo Kim, Hiroyuki Tokuyasu, Claudio Vergari, Mitsuru Takemoto

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引用次数: 0

摘要

病例：我们报告了3例在屈曲坐姿的侧位功能x线片上显示后路半脱位的病例。2例患者无症状，2例显示股骨头后侧移位，这几乎是脱位，自发性复位。由于髋部过度屈曲，腰椎相对正常的患者也可能发生半脱位。结论：屈曲坐姿的功能侧位放射学评估可能有助于发现无症状半脱位和识别THA后脱位高风险患者。

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Radiographic Subluxation Following Total Hip Arthroplasty in Flexed-Seated Position: A Report of 3 Cases.

Case: We present 3 cases demonstrating radiographic posterior subluxation in lateral functional radiographs taken in the flexed-seated position. Two of the patients were asymptomatic, and 2 showed the posterior translation of the femoral head, which is almost a dislocation, with spontaneous reduction. The subluxation can occur not only in patients after lumbar fusion surgery but also in patients with relatively normal lumbar spine due to excessive hip flexion.

Conclusion: Functional lateral radiographic assessment in the flexed-seated position may be useful in detecting asymptomatic subluxation and identifying patients at high risk of dislocation after THA.

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.