[股骨前倾角的临床和x线测量值]。

Emil Adamczyk, Marcin Sibiński, Marek Synder
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引用次数: 0

摘要

本研究的目的是分析股骨前倾的临床和放射学测量的价值。49例患者(女孩39例,男孩10例),末次随访时平均年龄9.1岁(4 ~ 15岁)。在分析的98个髋关节中,有59个在儿童时期有IIb髋关节发育不良。临床上采用粗隆突角试验测量股骨前倾角。x线片上采用Strzyzewski法测量股骨前倾角。IIb型关节的股骨前倾无明显增加。股骨前倾的临床诊断与影像学检查的相关性良好(r=71),建议作为常规检查。髋关节屈曲旋转(r=59)与x线前倾的相关性优于伸直旋转(r=46),两者的结合增加了相关性(r=62)。髋屈曲90度时的临床检查比髋伸时的检查能更好地评估股骨前倾。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[The value of femoral anteversion angle measured clinically and on radiographs].

The purpose of the study was to analyze the value of clinical and radiological measurements of femoral anteversion. There were 49 patients (39 girls, 10 boys) with the mean age of 9.1 years (range from 4 to 15 years) at last follow-up. Among 98 analyzed hips 59 had IIb hip dysplasia according to Graf at childhood. Clinically femoral anteversion angle was measured using the trochanteric prominence angle test. On radiographs femoral anteversion angle was measured according to Strzyzewski method. Femoral anteversion wasn't significantly increased in joints type IIb. The correlation of clinical and radiographic determination of femoral anteversion was good (r=71) and it is recommended for routine examination. Hip rotation in flexion (r=59) better correlated with radiographic anteversion than in extension (r=46) and their combination increased correlation (r=62). Clinical examination in hips flexed 90 degrees allows for better assessment of femoral anteversion than examination done in hip extension.

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